Individual
MS. JULIE ANN DIGIOVANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 N PARK ST, KALAMAZOO, MI 49007-3731
(269) 384-8641
(269) 373-0123
Mailing address
200 N PARK ST, KALAMAZOO, MI 49007-3731
(269) 382-2500
(269) 373-0123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006079
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447261730
BCBSM WMCC
MI
05
—
1730463597
—
MI
Enumeration date
09/28/2011
Last updated
03/05/2024
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