Individual
MICHAEL J GINELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1587 BOETTLER RD, UNIONTOWN, OH 44685-7823
(330) 896-3447
(330) 896-9919
Mailing address
3428 W MARKET ST, SUITE 103, FAIRLAWN, OH 44333-3339
(330) 344-3583
(330) 869-2074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34-00-6369
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1232120011
MEDICARE DME
OH
01
—
1467490961
NPI GROUP NUMBER
OH
05
—
2229412
—
OH
01
—
9338635
MEDICARE GROUP NUMBER
OH
Enumeration date
01/19/2006
Last updated
05/12/2008
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