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General NPI Number Information
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NPI Number | 1588677645
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Entity Type | Individual
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Provider Name | ANDREA GIAMBI DO
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 400 EAST FIRST STREET
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City | MORRIS
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State | MN
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Zip | 56267-0660
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Country | US
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Telephone | 320-589-1313
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Fax | 320-589-3533
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Provider Business Mailing Address
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Address Line | 400 E 1ST ST
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City | MORRIS
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State | MN
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Zip | 56267-1408
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Country | US
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Telephone | 320-589-1313
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Fax | 320-589-3533
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 38524
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License Number State | MN
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