Provider Demographics
NPI:1497218598
Name:GIAMBI, STEPHAN FRANCESCO (DPM)
Entity Type:Individual
Prefix:
First Name:STEPHAN
Middle Name:FRANCESCO
Last Name:GIAMBI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 OLD FAIRFIELD RD STE 140
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45432-2754
Mailing Address - Country:US
Mailing Address - Phone:937-705-6100
Mailing Address - Fax:937-705-6175
Practice Address - Street 1:1911 OLD FAIRFIELD RD STE 140
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45432-2754
Practice Address - Country:US
Practice Address - Phone:937-705-6100
Practice Address - Fax:937-705-6175
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH59.000785390200000X
OH36.003991213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program