Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAM GIOVANNUCCI, MD
ActiveSAM GIOVANNUCCI, MD is a Internal Medicine healthcare provider located in GRAND RAPIDS, Michigan. NPI 1164478509 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1164478509
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2006 (20.231099380135 yrs)
- Last Updated
- Mar 4, 2021
- License
-
4301056230 (MI)
Practice Information
- Address
-
4069 LAKE DR SESUITE 117GRAND RAPIDS, MI, 495468816Browse MI providers · Browse ZIP 49546
- Phone
- 6167268700
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICIA REILLY LAGRAND | MD | 1215931258 |
| DR. KENNETH J FAWCETT JR. | MD | 1972507788 |
| JOSIP DIVIC | MD | 1770587305 |
| ROBERT D. LANG | MD | 1871597377 |
| GERALD LEE | MD | 1265437420 |
| ROBERT K JARVE | MD | 1285639161 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.