# DEMELLO MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528145935
- **Authorized official:** DR. DAVID WILLIAM DEMELLO DO (OWNER)
- **Authorized official phone:** (586) 228-0600

## Contact information

- **Practice address:** 39379 GARFIELD RD, CILNTON TOWNSHIP, MI 48038
- **Practice address phone:** (586) 228-0600
- **Practice address fax:** (586) 228-1839
- **Mailing address:** 39379 GARFIELD RD, CILNTON TOWNSHIP, MI 48038
- **Mailing address phone:** (586) 228-0600
- **Mailing address fax:** (586) 228-1839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | DD007358 | MI | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 10/15/2013