Individual
DR. FRANK A DIPONIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13700 19 MILE RD, STERLING HEIGHTS, MI 48313-2702
(586) 247-6020
(586) 247-7048
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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-0E00108-0
BCBSM PIN
MI
01
—
1558344887
INDIVIDUAL NPI
MI
01
—
201187307
TAX I D
MI
01
—
FD014926
LICENSE
MI
Enumeration date
11/21/2005
Last updated
10/21/2009
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