Individual
ADRIAN MORENO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4420 E DAVISON ST, HAMTRAMCK, MI 48212-1744
(313) 369-1500
Mailing address
18000 W 9 MILE RD STE 200, SOUTHFIELD, MI 48075-4020
(248) 336-4000
(248) 336-9137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013478
MI
Other
Enumeration date
09/15/2025
Last updated
12/23/2025
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