Organization
NBO MEDICAL
Active
Other names
NBO Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL N. DEWEESE MD (CEO)
(517) 999-9020
Entity
Organization
Contact information
Practice address
3410 BELLE CHASE WAY, SUITE 200, LANSING, MI 48911
(517) 332-7246
(517) 332-1474
Mailing address
3410 BELLE CHASE WAY, SUITE 600, LANSING, MI 48911
(517) 999-9020
(517) 999-0096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MI
Other
Enumeration date
10/11/2012
Last updated
06/11/2013
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