MEDICARE: ANTHONY GIORDANO DPM PC

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
1	213E00000X	Podiatrist	5901002058	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	139161	OTHER	MI	CARE CHOICES
2	139161	OTHER	MI	PREFERRED CHOICES
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962589481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY GIORDANO DPM PC

Provider Business Mailing Address
First Line	:	19832 DEMIL DR
Second Line	:
City	:	MACOMB
State	:	MI
Zip	:	48044-6313
Country	:	US
Telephone Number	:	734-812-3194
Fax Number	:

Provider Business Practice Location Address
First Line	:	51523 VAN DYKE AVE
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-4447
Country	:	US
Telephone Number	:	734-812-3194
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. ANTHONY GIORDANO
Credential	:	DPM
Telephone Number	:	734-812-3194

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	12/10/2007

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