Provider Demographics
NPI:1174314058
Name:ONGARO, JULIAN
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:
Last Name:ONGARO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 COLBURN AVE
Mailing Address - Street 2:
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-1615
Mailing Address - Country:US
Mailing Address - Phone:231-622-9605
Mailing Address - Fax:
Practice Address - Street 1:1219 COLBURN AVE
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-1615
Practice Address - Country:US
Practice Address - Phone:231-622-9605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program