Individual
CHRISTOPHER C GIANVECCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC., BELOIT, WI 53511-1842
(608) 364-2200
(608) 363-7368
Mailing address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC., BELOIT, WI 53511-1842
(608) 364-2200
(608) 363-7368
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-099699
IL
208000000X
Pediatrics Physician
Primary
40586020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12142
DEAN HEALTH PLAN HMO
—
05
—
1801804844
—
WI
Enumeration date
08/04/2006
Last updated
10/19/2011
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