| Christopher Iacobelli MD PC | |
|
14272 N Fenton Rd Fenton MI 48430-1544 | |
| (810) 714-5100 | |
| (810) 714-5101 |
| Full Name | Christopher Iacobelli MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 14272 N Fenton Rd, Fenton, Michigan |
| Authorized Official Name and Position | Christopher Iacobelli (SOLE MEMBER) |
| Authorized Official Contact | 8107145100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Iacobelli MD PC 14272 N Fenton Rd Fenton MI 48430-1544 Ph: (810) 714-5100 | Christopher Iacobelli MD PC 14272 N Fenton Rd Fenton MI 48430-1544 Ph: (810) 714-5100 |
| NPI Number | 1902199862 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 11/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902199862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301074411 (Michigan) | Primary |
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