Individual
DR. DOMINIC PELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 MONROE AVE NW, GRAND RAPIDS, MI 49503-1455
(616) 685-6497
(616) 685-3033
Mailing address
1000 MONROE AVE NW, GRAND RAPIDS, MI 49503-1455
(616) 685-6497
(616) 685-3033
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301096986
MI
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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