Healthcare Provider Details

I. General information

NPI: 1043392707
Provider Name (Legal Business Name): JOHN M. TRUPIANO, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W BIG BEAVER RD STE 1050
TROY MI
48084-4154
US

IV. Provider business mailing address

201 W BIG BEAVER RD STE 1050
TROY MI
48084-4154
US

V. Phone/Fax

Practice location:
  • Phone: 248-220-3310
  • Fax: 248-220-3311
Mailing address:
  • Phone: 248-220-3310
  • Fax: 248-220-3311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number4301081182
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number4301081182
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number4301081182
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number4301081182
License Number StateMI

VIII. Authorized Official

Name: DR. JOHN MICHAEL TRUPIANO
Title or Position: OWNER
Credential: M.D.
Phone: 248-220-3310