Individual
MR. GUY PELLEGRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1000
Mailing address
500 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005670
MI
Other
Enumeration date
10/07/2009
Last updated
05/17/2010
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