Joel Dinverno MD PC

NPI #1053674184 in Grass Lake, Michigan

Provider Information

NPI Number: 1053674184
Entity Type: Organization
Organization Name: Joel Dinverno MD PC
Primary Specialty: Pediatrics
Enumeration Date: Jun 22, 2012
Last Updated: Jun 22, 2012

Practice Location

Address: 11755 E MICHIGAN AVE
City: Grass Lake
State: Michigan
ZIP Code: 49240-9219
Phone: (517) 522-6100

Authorized Official

Name: JOEL DINVERNO, MD
Title: OWNER
Phone: (517) 522-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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