Organization
J MICHAEL GIANNINI PSC
Active
Other names
J MICHAEL GIANNINI MD PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J MICHAEL GIANNINI MD (PRESIDENT)
(270) 444-7248
Entity
Organization
Contact information
Practice address
2138 BROADWAY ST, PADUCAH, KY 42001-7110
(270) 444-7248
(270) 444-6014
Mailing address
2138 BROADWAY ST, PADUCAH, KY 42001-7110
(270) 444-7248
(270) 444-6014
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036091667
IL
207N00000X
Dermatology Physician
Primary
17473
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64174733
—
KY
Enumeration date
12/03/2010
Last updated
12/03/2010
Update your record
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