DR. LOUIS ALFRED PETRUCCO


Address: 9966 Hawthorne Glen Dr, Grosse Ile, MI 48138-2100
Phone: 7345521561

DR. LOUIS ALFRED PETRUCCO (NPI# 1770704454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770704454
Entity Type Individual
Full Name DR. LOUIS ALFRED PETRUCCO
Credential M.D.
Practice Address 9966 Hawthorne Glen Dr
Grosse Ile
MI 48138-2100
Mailing Address 9966 Hawthorn Glen
Grosse Ile
MI 48138-2100
Practice Telephone 7345521561
Mailing Telephone 7345521561
Enumeration Date 2007-05-01
Last Update Date 2017-09-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
5315026105 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 9966 HAWTHORNE GLEN DR
City GROSSE ILE
State MI
Zip Code 48138-2100

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588227003 Community Renovations Inc. Contractor 9505 Groh Rd., Suite 240, Grosse Ile, MI 48138 2019-04-19
1164799722 Robert L Angellotti General Practice 26735 East River Rd, Grosse Ile, MI 48138 2011-11-28
1831471820 A(mos) Joseph Brough Pathology 9801 Hawthorn Glen Drive, Grosse Ile, MI 48138 2011-09-15
1750446217 Malcolm Edward Williamson Internal Medicine 8432 Thorntree Drive, Grosse Ile, MI 48138 2006-12-26
1033217856 Tricounty Nurses Plus,llc Licensed Practical Nurse 8538 Island Blvd, Grosse Ile, MI 48138 2006-09-20
1679583298 Lidija M Nikolovska Social Worker 19598 Kathron Cr, Grosse, MI 48138 2006-08-08
1639438062 Advanced Diagnostic Medical Imaging PC Pain Medicine 19891 Parke Ln, Grosse Ile, MI 48138-1027 2012-05-04
1306997127 Anne Marie Zallakian Surgery 8572 Paulina Ave, Grosse Ile, MI 48138-1051 2007-01-16
1275824468 1st Assurance Billing Services LLC Home Health 8126 Harbor Pointe, Grosse Ile, MI 48138-1084 2011-04-22
1922141753 Janice Marie Caie-lawrence Nurse Practitioner 8052 Odonnell Dr, Grosse Ile, MI 48138-1132 2007-02-14
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Taxonomy Information

Taxonomy Code 207RA0201X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Allergy & Immunology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386712578 Gursharanjit Singh Dhillon Internal Medicine 130 Hampton Cir, Suite 150, Rochester Hills, MI 48307-4195 2006-12-04
1750335378 Peter Mike Ranta Internal Medicine 309 W 12th Ave, Suite 101, Sault Sainte Marie, MI 49783-2885 2006-05-19
1184684847 Michael S Rowe Internal Medicine 24120 Meadowbrook Rd, Ste 201, Novi, MI 48375-3407 2006-03-27
1134192560 Raka Mahajan Internal Medicine 23500 Park St, Suite 3, Dearborn, MI 48124-2598 2006-02-08
1124018296 Jane E Krasnick Internal Medicine 37130 Hoover Rd, Suite A, Warren, MI 48093 2005-10-28
1831681113 Tina Abraham Do Pllc Internal Medicine 75 Barclay Cir Ste 205, Rochester Hills, MI 48307-5821 2018-06-03
1376820605 Ascension St John Hospital Internal Medicine 1202 Walton Blvd, Suite 201, Rochester, MI 48307-6917 2011-11-15
1043538549 Jeffrey Tulin Silver Md PC Internal Medicine 6330 Orchard Lake Rd, Suite 110, West Bloomfield, MI 48322-2398 2010-05-07
1912189457 Great Lakes Allergy and Asthma Center, P.C. Internal Medicine 309 W 12th Ave, Suite 101, Sault Sainte Marie, MI 49783-2885 2007-11-27
1134297674 Edward M. Zoratti Internal Medicine 2799 W Grand Blvd, Detroit, MI 48202-2608 2006-12-01
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Competitor

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City GROSSE ILE
Zip Code 48138

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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