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Individual

HOWARD PESCHKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
13308 EDISON ST, SOUTHGATE, MI 48195-1076
(734) 282-4300
Mailing address
13308 EDISON ST, SOUTHGATE, MI 48195-1076
(734) 282-4300

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901400131
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4384847
MI
Enumeration date
08/22/2006
Last updated
12/07/2007
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