Individual provider · Type 1 NPI

Mary Ann Santucci, MD

Student in an Organized Health Care Education/Training Program · Lakewood, OH

NPI number 1063269744 Active

Practice location

14601 Detroit Ave
Lakewood, OH 44107-4205

Call (216) 237-5500 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063269744

Mary Ann Santucci, MD's National Provider Identifier is 1063269744, issued on May 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lakewood, OH. The record was last updated on May 1, 2024.