Individual
GIOVANI IVAN MICHIELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 E CAMELBACK RD STE 101A, PHOENIX, AZ 85016-3495
(888) 663-6331
(415) 252-7176
Mailing address
2201 E CAMELBACK RD STE 101A, PHOENIX, AZ 85016-3495
(602) 218-4075
(602) 218-4076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42022
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470686
—
AZ
01
—
Z22506
MEDICARE GROUP PIN
AZ
Enumeration date
01/10/2008
Last updated
03/17/2025
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