Individual
JOHN L DAMIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
214 E ELM AVE STE 101, MONROE, MI 48162
(734) 243-9620
(734) 243-3565
Mailing address
214 E ELM AVE STE 101, MONROE, MI 48162-2678
(734) 243-9620
(734) 243-3565
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
34012721
OH
208800000X
Urology Physician
Primary
5101010249
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0238703
—
OH
01
—
0E06273
BCBSM
MI
01
—
0H210660
BCBSM
MI
05
—
4265480
—
MI
01
—
H592500
MEDICARE PIN
OH
Enumeration date
01/30/2006
Last updated
11/03/2023
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