Provider Demographics
NPI:1124208277
Name:CONSIGLIERI, GIAC DONATI (MD)
Entity Type:Individual
Prefix:
First Name:GIAC
Middle Name:DONATI
Last Name:CONSIGLIERI
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:525 DOYLE PARK DR
Mailing Address - Street 2:STE 102
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-4556
Mailing Address - Country:US
Mailing Address - Phone:707-523-1973
Mailing Address - Fax:707-523-0679
Practice Address - Street 1:252 DOYLE PARK DR
Practice Address - Street 2:STE 102
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405
Practice Address - Country:US
Practice Address - Phone:707-523-1873
Practice Address - Fax:707-523-0679
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2021-10-20
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Provider Licenses
StateLicense IDTaxonomies
WAMD60254009207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery