Individual
JEFFRY D BELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
16001 W 9 MILE RD, DEPT OF INTERNAL MEDICINE, SOUTHFIELD, MI 48075-4818
(248) 849-3152
(248) 849-5378
Mailing address
25925 TELEGRAPH RD, 210, SOUTHFIELD, MI 48034-2518
(248) 746-3218
(248) 746-0369
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002355
MI
Other
Enumeration date
11/07/2005
Last updated
12/20/2011
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