Individual
DR. JAMES NELSON DEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E MICHIGAN AVE, SUITE 530, LANSING, MI 48912-1800
(517) 364-5880
(517) 364-5887
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301076699
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103310772
BCBS INDIVIDUAL PIN
MI
05
—
4609393
—
MI
Enumeration date
09/15/2006
Last updated
02/10/2021
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