Individual
JOSEPH PIECHOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15918 19 MILE RD, SUITE 150, CLINTON TOWNSHIP, MI 48038-1101
(586) 228-0240
Mailing address
16333 HAVERHILL DR, MACOMB, MI 48044-1952
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501004900
LICENSE #
MI
Enumeration date
08/30/2006
Last updated
07/08/2007
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