Individual
DR. DONNA DEFILIPPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
651 W MARION RD, MOUNT GILEAD, OH 43338-1027
(231) 250-4148
(231) 734-9949
Mailing address
P.O. BOX 874, EVART, MI 49631
(231) 250-4148
(231) 734-9949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013874
MI
208M00000X
Hospitalist Physician
55373-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4953852
—
MI
01
—
F710190
BCBS
—
Enumeration date
08/16/2006
Last updated
11/01/2017
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