Individual
DR. MICHAEL DOUGLAS PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E. MEDICAL CENTER DRIVE, B1-380 TC, ANN ARBOR, MI 48109-5305
(734) 763-7919
(734) 763-9298
Mailing address
1500 E. MEDICAL CENTER DRIVE, B1-380 TC, ANN ARBOR, MI 48109-5305
(734) 763-7919
(734) 763-9298
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301096679
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
05/28/2010
Last updated
08/22/2013
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