Individual
DR. GIOVANNI M DIGIANNANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4075 S CENTER RD, BURTON, MI 48519-1453
(810) 743-4120
(810) 743-0583
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2007
(810) 743-1099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301039053
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3236008
—
MI
Enumeration date
09/02/2006
Last updated
09/20/2007
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