Provider Demographics
NPI:1740591908
Name:PERINOT, MARIANA L (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIANA
Middle Name:L
Last Name:PERINOT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:829 N CENTER AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735-1599
Mailing Address - Country:US
Mailing Address - Phone:989-731-7860
Mailing Address - Fax:989-731-7833
Practice Address - Street 1:829 N CENTER AVE STE 210
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-1599
Practice Address - Country:US
Practice Address - Phone:989-731-7860
Practice Address - Fax:989-731-7833
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301096952207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine