Provider Demographics
NPI:1659845717
Name:GERMANO, GIULIO (DACM DIPL)
Entity Type:Individual
Prefix:
First Name:GIULIO
Middle Name:
Last Name:GERMANO
Suffix:
Gender:M
Credentials:DACM DIPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6211 OLD FOREST DR
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-2511
Mailing Address - Country:US
Mailing Address - Phone:513-658-4092
Mailing Address - Fax:
Practice Address - Street 1:700 HALE ST
Practice Address - Street 2:
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54495-2787
Practice Address - Country:US
Practice Address - Phone:715-424-4682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-11
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000342171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist