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Individual

DR. ANTHONY ROSS GIORDANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
50505 SCHOENHERR RD, SUITE 230, SHELBY TWP, MI 48315-3140
(586) 580-3728
(586) 580-3769
Mailing address
50505 SCHOENHERR RD, SUITE 230, SHELBY TWP, MI 48315-3140
(586) 580-3728
(586) 580-3769

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002058
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
382469733
TAX ID FOR PRIMARY LOCATI
MI
01
4855010420
IND BX #
MI
Enumeration date
05/19/2006
Last updated
03/28/2012
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