Individual provider · Type 1 NPI

Jeffrey Eugene Puccio, MD

Specialist · Dearborn, MI

NPI number 1275507733 Active

Practice location

2021 Monroe St, Suite 101
Dearborn, MI 48124-2926

Call (313) 277-4177 Map

Fax (313) 277-2157

Mailing address

47830 Beckenham Blvd
Novi, MI 48374-3530

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4301052835 (MI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1275507733

Jeffrey Eugene Puccio, MD's National Provider Identifier is 1275507733, issued on Feb 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dearborn, MI. The record was last updated on Jul 21, 2014.