Individual
ROBERT PELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1445 GOFFE ST, SAINT CLAIR, MI 48079-5107
(810) 834-0023
Mailing address
1445 GOFFE ST, SAINT CLAIR, MI 48079-5107
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703126369
MI
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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