MEDICARE: DELL FAMILY MEDICINE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician

General Provider Information

NPI Number	:	1639339856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELL FAMILY MEDICINE PLLC

Provider Business Mailing Address
First Line	:	601 S SHORE DR
Second Line	:	329
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-5440
Country	:	US
Telephone Number	:	269-969-6212
Fax Number	:	269-969-6224

Provider Business Practice Location Address
First Line	:	601 S SHORE DR
Second Line	:	329
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-5440
Country	:	US
Telephone Number	:	269-969-6212
Fax Number	:	269-969-6224

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	DR. DEBORAH A DELL
Credential	:	D.O.
Telephone Number	:	269-969-6212

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	06/11/2008

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