Individual provider · Type 1 NPI

John J. Iacobucci, MD

Plastic and Reconstructive Surgery Physician · Grand Rapids, MI

NPI number 1689761439 Active

Practice location

221 Michigan St NE Ste 300
Grand Rapids, MI 49503-2537

Call (616) 391-1909 Map

Fax (616) 391-8612

Mailing address

100 Michigan St NE # MC-845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122X4301047493 (MI)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1689761439

John J. Iacobucci, MD's National Provider Identifier is 1689761439, issued on Oct 5, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 10, 2020.