| Nebbeling Osteopathic Health Pllc | |
|
3512 Coolidge Rd East Lansing MI 48823-6376 | |
| (517) 897-5932 | |
| Not Available |
| Full Name | Nebbeling Osteopathic Health Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3512 Coolidge Rd, East Lansing, Michigan |
| Authorized Official Name and Position | David Nebbeling (CEO) |
| Authorized Official Contact | 5175645932 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nebbeling Osteopathic Health Pllc 1938 W Columbia Rd Mason MI 48854-9241 Ph: () - | Nebbeling Osteopathic Health Pllc 3512 Coolidge Rd East Lansing MI 48823-6376 Ph: (517) 897-5932 |
| NPI Number | 1922616713 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 02/22/2024 |
| Medicare PECOS PAC ID | 4880019140 |
|---|---|
| Medicare Enrollment ID | O20200803002785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922616713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David John Nebbeling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548755044 PECOS PAC ID: 2860749413 Enrollment ID: I20200803002876 |
| Provider Name | Kaitlyn Gwizdala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083381214 PECOS PAC ID: 7719384353 Enrollment ID: I20210923001662 |
| Provider Name | Jacob Monestersky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740804632 PECOS PAC ID: 4880017821 Enrollment ID: I20230615000725 |
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