Individual
MICHAEL JOANNIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 325-6585
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-43066
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
04/15/2015
Last updated
12/16/2022
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