Michael Thomas Ginnetti, MD
Michael Thomas Ginnetti, MD is a Dermatology in Bloomington, Illinois. Graduated from Southern Illinois University School of Medicine in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Iowa and Illinois.
- Years since qualifying
- 9
- Trained at
- Southern Illinois University School of Medicine
- Licensed in
- IA, IL
- In the registry since
- 2017
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1015 S Mercer Ave Ste GF7Bloomington, IL 61701-7107
Phone: (309) 660-8442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 036.156711 (IL) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence R-11187 (IA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (IL) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence R-11187 (IA) |
Record details
| NPI number | 1316474976 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 15, 2017 |
| Last updated in NPPES | November 23, 2022 |
| Certification date | November 23, 2022 |
| Mailing address | 1015 S Mercer Ave Ste Gf7, Bloomington, IL 61701-7107 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2017 (9 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Bloomington
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Associates in Dermatology SC
1404 Eastland Dr Ste 204, Bloomington, IL 61701-3532 · (309) 662-8813
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Mr. Thomas Richard Brander, MD
1404 Eastland Dr Ste 204, Bloomington, IL 61701 · (309) 662-8813
-
Dermatology and Skin Cancer Center
3302 Gerig Dr Ste 100, Bloomington, IL 61704-6343 · (309) 533-7070
-
Dr. Wynn Hugh Kao, MD, PHD
3024 E Empire St Ste E & F, Bloomington, IL 61704-5402 · (309) 451-3376
-
Prairie Dermatology, PLLC
1015 S Mercer Ave Ste GF7, Bloomington, IL 61701-7107 · (309) 660-8442
-
Adrienne Schupbach, MD
3024 E Empire St Ste E&f, Bloomington, IL 61704-5402 · (309) 451-3376
-
Mr. James Richard Seehafer, MD
1404 Eastland Dr Ste 204, Bloomington, IL 61701 · (309) 662-8813