Jodi Iacco

NPI 1801162532 · on the registry since 2012

Practice

Address: 22201 Moross Rd
Professional Building 1 Suite 132
Detroit, MI 48236
Phone: (313) 343-3360
Organisation at this address: Eastside Neurosurgery Pc
St Clair Adult Medicine Pc
St. John Hospital Corporation
Henry Ford Semi Medical Group
St. John Hospital & Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 264

Registry record

Primary taxonomy: 363AS0400X
363AS0400X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-03-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan