IndividualActive
Louis Petrucco, M.D.
NPI 1770704454 · Allergy & Immunology (Internal Medicine) Physician · Grosse Ile, MI
Provider details
- NPI number
- 1770704454
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5315026105 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9966 Hawthorne Glen Dr
Grosse Ile, MI 48138-2100
Phone: (734) 552-1561
Street-level locationGet directions
Mailing address
9966 Hawthorn Glen
Grosse Ile, MI 48138-2100
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2017-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.