Provider Demographics
NPI:1952422636
Name:GIORDANO, ERIKA (DO)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:GIORDANO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 KARL GREIMEL DR
Mailing Address - Street 2:SUITE 99
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-9465
Mailing Address - Country:US
Mailing Address - Phone:810-225-4589
Mailing Address - Fax:810-220-2050
Practice Address - Street 1:1021 KARL GREIMEL DR
Practice Address - Street 2:SUITE 99
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-9465
Practice Address - Country:US
Practice Address - Phone:810-225-4589
Practice Address - Fax:810-220-2050
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101016165207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5184770Medicaid