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Contact Information

GENE CAICCO, DPM
11900 E 12 MILE RD
SUITE 102
WARREN, MI48093-3400
 Phone: 586-573-7470
 Fax: 586-573-0850
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GENE CAICCO · (Male)

NPI Number 1568462133
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/26/2005
Last updated 10/27/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # GC001745
  • MI Medicaid 4246887
  • MI Other 5901001745 BCBSM
  • MI Other 383523897 PPOM
  • MI Other 383523897 ST JOHN SMART PLAN
  • MI Other 383523897 UNITED HEALTH CARE
Hospital affiliation(s)
  • ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER - (Acute Care)
    11800 EAST TWELVE MILE ROAD
    WARREN, MI 48093
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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