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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JODI IACCO

Active

JODI IACCO is a Surgical Physician Assistant healthcare provider located in DETROIT, Michigan. NPI 1801162532 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · DETROIT, MI

Registration Details

NPI Number
1801162532
Provider Type
Individual
Gender
Female
NPI Issued
Mar 27, 2012 (14.4264149271 yrs)
Last Updated
Mar 27, 2012
License
5601006048 (MI)

Practice Information

Address
22201 MOROSS RD
PROFESSIONAL BUILDING 1 SUITE 132
DETROIT, MI, 482362169
Browse MI providers · Browse ZIP 48236
Phone
3133433360
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in DETROIT, MI

Name Credential NPI
VESNA CADIKOVSKA PA-C 1205897469
LAUREN BETH GURSKI PAC 1184678690
ERIK ILMARS SAULITIS PAC 1285680421
YU ZHENG PAC 1326089228
MARK M ROESER PAC 1194751693
DEJUANA MICHELLE STRONG P.A. 1316967813
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.