Dr. Louis Alfred Petrucco
Internist - Allergy & Immunology
9966 Hawthorne Glen Dr
Grosse Ile
, Michigan 48138-2100
Dr. Louis Alfred Petrucco
Internist - Allergy & Immunology
9966 Hawthorne Glen Dr
Grosse Ile
, Michigan 48138-2100
(734) 552-1561
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Dr. Louis Alfred Petrucco
- 9966 Hawthorn Glen
- Grosse Ile, MI
- Zip : 48138-2100
- Phone : (734) 552-1561
Second Address
- Dr. Louis Alfred Petrucco
- 9966 Hawthorne Glen Dr
- Grosse Ile, MI
- Zip : 48138-2100
- Phone : (734) 552-1561
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | 5315026105 | MI |
National Provider Identifier
| NPI | 1770704454 |
|---|---|
| Provider Name | Dr. Louis Alfred Petrucco |
| First Address | Grosse Ile, MI 48138-2100 |
| Second Address | Grosse Ile, MI 48138-2100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2007 |
| Last Update Date | 07/09/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.