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DR. LOUIS ALFRED PETRUCCO M.D.
NPI 1770704454
Internal Medicine - Allergy & Immunology in Grosse Ile, MI

Active since May 01, 2007
9966 HAWTHORNE GLEN DR, GROSSE ILE, MI 48138(734) 552-1561 Get Directions Write a Review

NPPES record last updated: September 7, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Louis Alfred Petrucco M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LOUIS ALFRED PETRUCCO M.D. (NPI 1770704454) is an individual allergy & immunology provider in Grosse Ile, Michigan, licensed in Michigan (5315026105) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1770704454
Entity TypeIndividualMale
Primary Taxonomy207RA0201X
Provider Legal NameDR. LOUIS ALFRED PETRUCCOCredential: M.D.
Location Address9966 HAWTHORNE GLEN DRGrosse Ile, MI 48138-2100
Mailing Address9966 Hawthorn GlenGrosse Ile, MI 48138-2100 · (734) 552-1561
Phone(734) 552-1561
Sole ProprietorYes
Enumeration DateMay 1, 2007
Last NPPES UpdateSeptember 7, 2017
✔ NPI 1770704454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
License✔ Licensed in MI · 5315026105
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
9966 HAWTHORNE GLEN DR, Grosse Ile, MI 48138
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Louis Petrucco's NPI number?

The NPI number for Louis Petrucco is 1770704454. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Louis Petrucco located?

Louis Petrucco practices at 9966 Hawthorne Glen Dr, Grosse Ile, MI 48138. The listed phone number is (734) 552-1561.

What is Louis Petrucco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

When was this NPI record last updated?

The NPPES record for Louis Petrucco was last updated on September 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.