Individual
DR. GIACOMO MAGGIOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8501 75TH ST STE J, KENOSHA, WI 53142-7602
(262) 697-8030
(262) 697-6157
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 683-5278
(920) 686-9674
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
53395-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53395-020
STATE LICENSE
WI
Enumeration date
09/09/2008
Last updated
07/25/2023
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