Healthcare Provider Details

I. General information

NPI: 1184474397
Provider Name (Legal Business Name): DAVID NEFF, DO, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2024
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3493 WOODS EDGE
OKEMOS MI
48864-5911
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: 517-481-3765
Mailing address:
  • Phone: 517-290-1079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID ROBERT NEFF
Title or Position: SOLE OWNER/CEO
Credential: DO
Phone: 517-290-1079