Individual
DR. MICHAEL DAVID PEARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5151014925
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
5101028046
MI
Other
Enumeration date
05/27/2021
Last updated
07/03/2024
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