Individual
DR. DAVID WILLIAM DEMELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
36539 HARPER AVE, CLINTON TOWNSHIP, MI 48035-2012
(586) 900-8225
(920) 356-6419
Mailing address
120 PARK AVE STE 1, BEAVER DAM, WI 53916-2132
(920) 885-5225
(920) 356-6419
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
DD07358
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4939290
—
MI
Enumeration date
06/25/2007
Last updated
01/11/2024
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