John David Renucci in Grand Rapids - Plastic Surgery
John David Renucci - NPI 1487659827
John David Renucci is a Plastic Surgery in Grand Rapids, Michigan. John David Renucci practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for John David Renucci is 1487659827. The last update date is 2007-07-08.
John David Renucci's current location address is 220 Lyon St Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6164514500 and fax number 6164519077. The mailing address for John David Renucci is 220 Lyon St Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John David Renucci |
|---|---|
| Address | 220 Lyon St Nw, Grand Rapids, Michigan |
| Phone Number | 6164514500 |
| Fax Number | 6164519077 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487659827 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 220 Lyon St Nw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 4950322100 |
| Phone Number | 6164514500 |
| Fax Number | 6164519077 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 4301079486 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4403942 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John David Renucci by the Centers for Medicare & Medicaid Services?
The John David Renucci has been assigned the NPI (National Provider Identifier) 1487659827 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where John David Renucci's facilities are geographically located?
The facilities of John David Renucci are physically situated at the following location: 220 Lyon St Nw, Grand Rapids, MI, 4950322100.
What is John David Renucci's specialized field of practice, and what is the corresponding taxonomy classification code?
The John David Renucci's area of specialization is Plastic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487659827 to John David Renucci?
The Centers for Medicare & Medicaid Services originally issued the 1487659827 to John David Renucci on 2005-06-14.
As of what date were the details related to John David Renucci most recently updated or revised?
The information pertaining to John David Renucci, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.