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Individual

GIANNA MARIA MALLILLIN RODRIGUEZ

Active
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Individual

GIANNA MARIA MALLILLIN RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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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