Provider Demographics
NPI:1073525507
Name:BELGIANO, NEIL J (DO)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:J
Last Name:BELGIANO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2330 S MILFORD RD STE 120
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48357-4982
Mailing Address - Country:US
Mailing Address - Phone:248-676-9060
Mailing Address - Fax:248-684-5550
Practice Address - Street 1:2330 S MILFORD RD STE 120
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MI
Practice Address - Zip Code:48357-4982
Practice Address - Country:US
Practice Address - Phone:248-676-9060
Practice Address - Fax:248-684-5550
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2023-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101007043207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3273656Medicaid
MI3273656Medicaid
MIE26437Medicare UPIN