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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
5315026105 | MI | Allopathic & Osteopathic Physicians |
Street Address |
9966 HAWTHORNE GLEN DR |
City | GROSSE ILE |
State | MI |
Zip Code | 48138-2100 |
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 |
Find all providers in zip 48138 |
Taxonomy Code | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
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 |
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 |
Find all providers with the same taxonomy |
City | GROSSE ILE |
Zip Code | 48138 |
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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.