Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOEL BENJAMIN DINVERNO, MD
Active Sole ProprietorJOEL BENJAMIN DINVERNO, MD is a Pediatrics healthcare provider located in GRASS LAKE, Michigan. NPI 1104865633 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · GRASS LAKE, MI
Registration Details
- NPI Number
- 1104865633
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2006 (20.148175497939 yrs)
- Last Updated
- Jan 26, 2009
- License
-
4301073676 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11755 E MICHIGAN AVEGRASS LAKE, MI, 492409219Browse MI providers · Browse ZIP 49240
- Phone
- 5175226100
- Fax
- 5175224715
- Primary Specialty
-
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.