Peck, David Michael

Peck, David Michael is an individual health care provider with primary practice located at 47601 Grand River Ave A105, Novi MI 48374-1233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peck, David Michael can be contacted via phone (248) 465-4782.

Contact Information

Primary practice address
47601 Grand River Ave A105 Novi MI 48374-1233
Phone: (248) 465-4782
Fax: (248) 465-4852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301053134 Michigan

Profile Details

NPI number 1326048448
LBN Legal business name Peck, David Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 17th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326048448 NPPES
Michigan MEDICAID 468067510

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