Individual
GIANNA MARIA MALLILLIN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 E EISENHOWER PKWY STE 100, ANN ARBOR, MI 48108-3346
(734) 936-7175
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301080860
MI
2081P0004X
Spinal Cord Injury Medicine Physician
4301080860
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4810303
—
MI
Enumeration date
10/19/2006
Last updated
10/18/2023
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