Provider Demographics
NPI:1801933189
Name:GIZINSKI, ALISON MICHELLE (MD)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:MICHELLE
Last Name:GIZINSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DIVISION OF RHEUMATOLOGY
Mailing Address - Street 2:49 JESSE HILL JR. DRIVE SE
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303
Mailing Address - Country:US
Mailing Address - Phone:404-616-3064
Mailing Address - Fax:404-688-6024
Practice Address - Street 1:DIVISION OF RHEUMATOLOGY
Practice Address - Street 2:49 JESSE HILL JR. DRIVE SE
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303
Practice Address - Country:US
Practice Address - Phone:404-616-3064
Practice Address - Fax:404-686-6024
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301092433207RR0500X, 207R00000X
CO42391207RR0500X
GA077744207RR0500X
ARE-8155207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO42391OtherCOLORADO STATE LICENSE