Dr. David William Demello
Otolaryngology/Facial Plastic Surgery
39379 Garfield Rd
Clinton Township
, Michigan 48038-2794
Dr. David William Demello
Otolaryngology/Facial Plastic Surgery
39379 Garfield Rd
Clinton Township
, Michigan 48038-2794
(586) 228-1839
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. David William Demello
- 39379 Garfield Rd
- Clinton Township, MI
- Zip : 48038-2794
- Fax : (586) 228-1839
- Phone : (586) 228-0600
Second Address
- Dr. David William Demello
- 39379 Garfield Rd
- Clinton Township, MI
- Zip : 48038-2794
- Fax : (586) 228-1839
- Phone : (586) 228-0600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | DD07358 | MI |
National Provider Identifier
| NPI | 1639375884 |
|---|---|
| Provider Name | Dr. David William Demello |
| First Address | Clinton Township, MI 48038-2794 |
| Second Address | Clinton Township, MI 48038-2794 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4939290 | (05) | MI |
| E25675 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.