JULIE AMICUCCI
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1184691057- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 468 CADIEUX RD, GROSSE POINTE, MI, 482301507
- Phone
- (313) 473-1605
Specialties & Taxonomies
Physician Assistant
Primary License: MI #5601003026
All Addresses
MAILING
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI, 480333849