Individual
RICHARD G GIRARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
777 KIMOLE LN, SUITE 220, ADRIAN, MI 49221-1478
(517) 263-6464
(517) 263-8223
Mailing address
777 KIMOLE LN, SUITE 220, ADRIAN, MI 49221-1478
(517) 263-6464
(517) 263-8223
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101010175
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000359501
ANTHEM
—
01
—
0254620994
BCBS MI
MI
01
—
03641
PARAMOUNT
MI
01
—
100975
GLHP
—
01
—
115543
PREFERRED CHOICE PPO
MI
05
—
2645347
—
OH
01
—
4516021
AETNA
MI
05
—
4547844
—
MI
01
—
P00123694
RRMC
MI
Enumeration date
08/11/2005
Last updated
08/21/2012
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