Individual
RICHARD F GIANNOTTI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4401 CAMPUS RIDGE DR, MIDLAND, MI 48640-6112
(989) 837-9350
Mailing address
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684-7823
(231) 935-8000
(231) 935-8099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101023989
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
5101025748
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101023989
LICENSE
MI
Enumeration date
05/31/2018
Last updated
03/01/2023
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