Individual
DR. RICCARDO GIOVANNONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
693 STOCKFORD DR, ADRIAN, MI 49221-1460
(517) 264-0756
(517) 263-9796
Mailing address
693 STOCKFORD DR, ADRIAN, MI 49221-1460
(517) 265-0229
(517) 265-0829
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101011992
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054600215
BCBS
MI
01
—
383542312
TAX ID #
MI
05
—
424074911
—
MI
Enumeration date
03/20/2006
Last updated
07/07/2008
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