Male or Other

Dr. Giacomo Maggiolino M.D.

Dermatology Physician in Kenosha, WI(View on Map)

Full Name

Dr. Giacomo Maggiolino M.D.

NPI Number

1699924100

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/09/2008

Specialties

(Taxonomies)

Code

207N00000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

53395-020

Contact
Information

Purpose

Mailing
Location

Address

801 YORK ST
8501 75TH ST STE J

City

Manitowoc
Kenosha

State

WI
WI

Postal Code

54220-4630
53142-7602

Country

US
US

Telephone Number

(920) 683-5278
(262) 697-8030

Identifiers

Identifier

53395-020

Identifier State

WI

Identifier Issuer

STATE LICENSE

Health Information Exchange

Endpoint Type

DIRECT
DIRECT
DIRECT
DIRECT
DIRECT
DIRECT

Endpoint

Giacomo.Maggiolino@forefrontdermatology.emadirect.md
Giacomo.Maggiolino@forefrontdermatology.emadirect.md
Giacomo.Maggiolino@forefrontdermatology.emadirect.md
Giacomo.Maggiolino@forefrontdermatology.emadirect.md
Giacomo.Maggiolino@forefrontdermatology.emadirect.md
Giacomo.Maggiolino@forefrontdermatology.emadirect.md

Endpoint Description

Unknown
Unknown
Unknown
Unknown
Unknown
Unknown

Use

Unknown
Unknown
Unknown
Unknown
Unknown
Unknown

Content Type

Unknown
Unknown
Unknown
Unknown
Unknown
Unknown

Affiliation

N
N
N
N
N
N

Endpoint Location

1245 Cheyenne AveSuite 301Grafton, WI530249323US
9020 76th St Ste EPleasant Prairie, WI531581976US
1440 N 25th StSheboygan, WI530813108US
8501 75th St Ste JKenosha, WI531427602US
1240 N Milwaukee Ave Ste BLibertyville, IL600481307US
1240 N Milwaukee Ave Ste ALibertyville, IL600481307US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/25/2023

Provider Address

Other Dermatology Physicians in Kenosha, Wisconsin:

Male or Other

Kenneth Gilbertson M.D.

Kenosha, WI

Specialty: Dermatology Physician (Primary)

Male or Other

Eric Marsh MD

Kenosha, WI

Specialties: Dermatology Physician (Primary)MOHS-Micrographic Surgery Physician