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Individual

DONALD J. GIANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
504 W SOUTH ST, MONROEVILLE, IN 46773-9592
(260) 623-6196
(260) 623-6619
Mailing address
6920 POINTE INVERNESS WAY STE 200, MEDPARTNERS, ATTN: MEGAN FORTNEY, FORT WAYNE, IN 46804-7934
(260) 479-3515
(260) 479-3520

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01036258A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000091875
BLUE CROSS BLUE SHIELD
05
100318030
IN
05
2489874
OH
Enumeration date
11/03/2005
Last updated
01/18/2017
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