Healthcare Provider Details

I. General information

NPI: 1740326800
Provider Name (Legal Business Name): DAVID ROBERT NEFF DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6260 TIMBER VIEW DR
EAST LANSING MI
48823-9319
US

IV. Provider business mailing address

6260 TIMBER VIEW DR
EAST LANSING MI
48823-9319
US

V. Phone/Fax

Practice location:
  • Phone: 517-290-1079
  • Fax: 517-290-1079
Mailing address:
  • Phone: 517-290-1079
  • Fax: 517-290-1079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number5101007880
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101007880
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: