Individual
MICHAEL JAMES PENISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22201 MOROSS RD STE 170, DETROIT, MI 48236-2152
(313) 886-8787
Mailing address
22201 MOROSS RD STE 170, DETROIT, MI 48236-2152
(313) 886-8787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301516723
MI
207R00000X
Internal Medicine Physician
Primary
4351047745
MI
Other
Enumeration date
07/06/2021
Last updated
03/25/2026
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