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John N Di Bella Mdpc
Specialist in West Branch, Michigan
NPI 1093919532

John N Di Bella Mdpc is a Specialist based in Flushing, MI. John N Di Bella Mdpc practices in West Branch, MI. The NPI Number for John N Di Bella Mdpc is 1093919532 and holds a License No. 4301062732 (Michigan).

The current practice location address for John N Di Bella Mdpc is 335 E Houghton Ave, West Branch, MI and can be reached out via phone at 989-343-3124 and via fax at 989-343-3165.

Location: 335 E Houghton Ave, West Branch, MI, 48433-1875
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093919532
Provider Name
John N Di Bella Mdpc
Credential
Provider Entity Type
Organization
Address
335 E Houghton Ave, West Branch, MI, 48433-1875
Phone Number
989-343-3124
Fax Number
989-343-3165
Provider Enumeration Date
06/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0506500432 01 MI BLUE CROSS BLUE SHIELD
0506500432 01 MI BLUE CARE NETWORK HMO
411742210 05 MI
institution
Provider Business Practice Location Address Details
Address
335 E Houghton Ave
City
West Branch
State
Michigan
Zip
48661-1127
Phone Number
989-343-3124
Fax Number
989-343-3165
person
Provider Business Mailing Address Details
Address
335 E Houghton Ave
City
West Branch
State
Michigan
Zip
48661-1127
Phone Number
989-343-3124
Fax Number
989-343-3165
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301062732 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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