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NPI Code Detail

MEDICARE: DR. MICHAEL R DIGIOVANNI M.D.

MEDICARE: DR. MICHAEL R DIGIOVANNI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician125-073054IL

General Provider Information

NPI Number : 1801382858
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL R DIGIOVANNI M.D.
Provider Business Mailing Address
First Line : 7115 CADE RD
Second Line :
City : BROWN CITY
State : MI
Zip : 48416-9778
Country : US
Telephone Number : 810-346-2757
Fax Number : 810-346-2016
Provider Business Practice Location Address
First Line : 7115 CADE RD
Second Line :
City : BROWN CITY
State : MI
Zip : 48416-9778
Country : US
Telephone Number : 810-346-2757
Fax Number : 810-346-2016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2018
Last Update Date : 03/01/2023

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