Dr. Peter David Fugazzi , MD
General Practice • Lansing, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Fugazzi has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Peter Fugazzi, MD was a registered General Practice practicing in Lansing, MI. Throughout an active medical career spanning 12 years, Dr. Fugazzi provided care at the practice location at 2909 E GRAND RIVER AVE until profile deactivation on 2018-10-08.
Practice Location & Contact Primary Location
2909 E Grand River Ave
Ste 209
Lansing, MI 489124335
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Lansing, MI
Practicing in Lansing, MI (445 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Family Medicine
Doctor of Medicine (M.D.)
Physical Therapist
Pharmacist
Registered Pharmacist
Physical Therapist
Doctor of Physical Therapy
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 08, 2018
NPI status registered as active in NPPES database
Registered at 2909 E GRAND RIVER AVE, STE 209, LANSING, MI 489124335 (Tel: 5174825457)
Registered at 2909 E GRAND RIVER AVE, STE 209, LANSING, MI 489124335 (Tel: 5174825457)
Recorded as PETER FUGAZZI, MD
General Practice (License #PF042937 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2909 E Grand River Ave, Ste 209
Lansing, MI 489124335
Phone: 5174825457
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