Organization
FRANK A. DIPONIO JR. D.O. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK A. DIPONIO JR. D.O. (PHYSICIAN/OWNER)
(586) 604-3596
Entity
Organization
Contact information
Practice address
29250 HERITAGE PARKWAY, WARREN, MI 48092
(586) 578-0124
Mailing address
PO BOX 181038, UTICA, MI 48318-1038
(586) 604-3596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
#5101014926
MI
207Q00000X
Family Medicine Physician
FD014926
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#08-0E00108-0
BCBSM
MI
Enumeration date
03/26/2009
Last updated
11/06/2009
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