Rodriguez, Gianna Maria Mallillin

Rodriguez, Gianna Maria Mallillin is an individual health care provider with primary practice located at 325 E Eisenhower Pkwy Ste 100 , Ann Arbor MI 48108-3346. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Rodriguez, Gianna Maria Mallillin can be contacted via phone (734) 936-7175.

Contact Information

Primary practice address
325 E Eisenhower Pkwy Ste 100 Ann Arbor MI 48108-3346
Phone: (734) 936-7175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301080860 Michigan
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 4301080860 Michigan

Profile Details

NPI number 1295817187
LBN Legal business name Rodriguez, Gianna Maria Mallillin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Oct 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295817187 NPPES
Michigan MEDICAID 4810303

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