Individual
DAVID MICHAEL PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
47601 GRAND RIVER AVE, A105, NOVI, MI 48374-1233
(248) 465-4782
(248) 465-4852
Mailing address
25925 TELEGRAPH RD, 210, SOUTHFIELD, MI 48034-2518
(248) 746-0342
(248) 746-0308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301053134
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468067510
—
MI
Enumeration date
07/29/2005
Last updated
07/17/2007
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