Individual
BOGDAN PERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20761 HALL RD, MACOMB, MI 48044-4231
(586) 267-5168
Mailing address
20761 HALL RD, MACOMB, MI 48044-4231
(586) 267-5168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012101
MI
Other
Enumeration date
11/20/2023
Last updated
01/12/2024
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