Provider Demographics
NPI:1740326800
Name:NEFF, DAVID ROBERT (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ROBERT
Last Name:NEFF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6260 TIMBER VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-9319
Mailing Address - Country:US
Mailing Address - Phone:517-290-1079
Mailing Address - Fax:517-290-1079
Practice Address - Street 1:6260 TIMBER VIEW DR
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-9319
Practice Address - Country:US
Practice Address - Phone:517-290-1079
Practice Address - Fax:517-290-1079
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2024-07-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101007880207QH0002X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIE37435Medicare UPIN