Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL THOMAS GINNETTI, MD
ActiveMICHAEL THOMAS GINNETTI, MD is a Dermatology healthcare provider located in BLOOMINGTON, Illinois. NPI 1316474976 is currently active in the NPPES registry. Verify at CMS.
Dermatology · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1316474976
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2017 (9.2899428135837 yrs)
- Last Updated
- Nov 23, 2022
- Licenses
-
R-11187 (IA)R-11187 (IA)036.156711 (IL)
Practice Information
- Address
-
1015 S MERCER AVE STE GF7BLOOMINGTON, IL, 617017107Browse IL providers · Browse ZIP 61701
- Phone
- 3096608442
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Dermatology
Other Dermatology Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| MR. RAJAGOPALA SWAMINATHAN | MD | 1528008414 |
| MR. THOMAS RICHARD BRANDER | MD | 1598803330 |
| MR. JAMES RICHARD SEEHAFER | MD | 1619015450 |
| MRS. LUCY NELSON WISDOM | MD | 1669510400 |
| DR. WYNN HUGH KAO | M.D., PH.D. | 1790996890 |
| ADRIENNE SCHUPBACH | M.D. | 1740415777 |
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.