Individual
DR. DAVID P. NEBBELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3918 W ST JOE HWY, LANSING, MI 48917-4214
(517) 323-1833
(517) 853-0534
Mailing address
3918 W ST JOE HWY, LANSING, MI 48917-4214
(517) 323-1833
(517) 853-0534
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
02797
IA
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5101010112
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02797
IA LICENSE
IA
01
—
421301853
TAX ID #
MI
01
—
5101010112
MI LICENSE
MI
Enumeration date
01/11/2007
Last updated
07/08/2007
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