Provider Demographics
NPI:1013939859
Name:SERVICE, GIANNA L (MD)
Entity Type:Individual
Prefix:
First Name:GIANNA
Middle Name:L
Last Name:SERVICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GIANNA
Other - Middle Name:L
Other - Last Name:MCKAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:485 COLUMBIA AVE E
Mailing Address - Street 2:SUITE 11A
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-5499
Mailing Address - Country:US
Mailing Address - Phone:269-245-5430
Mailing Address - Fax:269-969-6049
Practice Address - Street 1:485 COLUMBIA AVE E
Practice Address - Street 2:SUITE 11A
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-5499
Practice Address - Country:US
Practice Address - Phone:269-245-5430
Practice Address - Fax:269-969-6049
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301087684207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine