Doctor Name: | DR. PAOLO C GIACOMINI |
NPI Number: | 1962510024 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01038356 |
Business Practice Address: | 400 Ash Street Suite C Wabash, IN - 46992 |
Business Phone Number: | 2605638875 |
Business Fax Number: | 2605699803 |
Mailing Address: | 400 Ash Street, Suite C WABASH |
State: | IN |
Postal Code: | 46992 |
Phone Number: | 2605638875 |
Fax Number: | 2605699803 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01038356 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |