Provider Demographics
NPI:1487643680
Name:GELINAS, DEBORAH F (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:F
Last Name:GELINAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 SERVICE RD
Mailing Address - Street 2:A201
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-7015
Mailing Address - Country:US
Mailing Address - Phone:517-884-2976
Mailing Address - Fax:517-432-3928
Practice Address - Street 1:804 SERVICE ROAD
Practice Address - Street 2:ROOM A117
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-7038
Practice Address - Country:US
Practice Address - Phone:517-706-0348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2256032084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1851470744Medicaid
MI0C36078035Medicare PIN
MI1851470744Medicaid