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NPI Code Detail

MEDICARE: NEBBELING OSTEOPATHIC HEALTH PLLC

MEDICARE: NEBBELING OSTEOPATHIC HEALTH 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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1922616713
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEBBELING OSTEOPATHIC HEALTH PLLC
Provider Business Mailing Address
First Line : 1938 W COLUMBIA RD
Second Line :
City : MASON
State : MI
Zip : 48854-9241
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3512 COOLIDGE RD
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-6376
Country : US
Telephone Number : 517-897-5932
Fax Number :
Authorized Official
Title or Position : CEO
Name : DAVID NEBBELING
Credential : DO
Telephone Number : 517-564-5932
Provider Enumeration Date : 07/17/2020
Last Update Date : 02/22/2024

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