Individual
JOSEPH SALVATORE GIOVANNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
145 MICHIGAN ST NE STE 2230, GRAND RAPIDS, MI 49503-2562
(616) 267-7758
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009795
MI
Other
Enumeration date
01/14/2020
Last updated
03/04/2021
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