Individual
MRS. JILLIAN MARIE PEKLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
46960 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-4378
(866) 389-2727
Mailing address
46960 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-4378
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704307421
MI
Other
Enumeration date
10/23/2019
Last updated
08/03/2022
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