John J Iacobucci in Grand Rapids - Plastic And Reconstructive Surgery
John J Iacobucci - NPI 1689761439
John J Iacobucci is a Plastic And Reconstructive Surgery in Grand Rapids, Michigan. John J Iacobucci practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for John J Iacobucci is 1689761439. The last update date is 2020-06-10.
John J Iacobucci's current location address is 100 Michigan St Ne # Mc-845, Grand Rapids, Michigan. You can contact this provider via phone number 6163911909 and fax number 6163918612. The mailing address for John J Iacobucci is 100 Michigan St Ne # Mc-845, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John J Iacobucci |
|---|---|
| Address | 100 Michigan St Ne # Mc-845, Grand Rapids, Michigan |
| Phone Number | 6163911909 |
| Fax Number | 6163918612 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1689761439 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2020-06-10 |
Provider Mailing Address Detail
| Address | 100 Michigan St Ne # Mc-845 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032560 |
| Phone Number | 6163911909 |
| Fax Number | 6163918612 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 4301047493 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3397368 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to John J Iacobucci by the Centers for Medicare & Medicaid Services?
The John J Iacobucci has been issued the NPI (National Provider Identifier) 1689761439. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where John J Iacobucci is physically located?
The John J Iacobucci is physically situated at the following address: 100 Michigan St Ne # Mc-845, Grand Rapids, MI, 495032560.
What is John J Iacobucci's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John J Iacobucci is Plastic And Reconstructive Surgery, and the taxonomy code that classifies this field of practice is 2086S0122X.
On what date was the 1689761439 assigned to John J Iacobucci?
The John J Iacobucci was issued its 1689761439 on 2006-10-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding John J Iacobucci, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John J Iacobucci, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-06-10.
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