Individual
DR. PETER J GELESKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2820 NILES RD, SAINT JOSEPH, MI 49085-3355
(269) 429-1982
Mailing address
1562 S TEAKWOOD DR, STEVENSVILLE, MI 49127-9659
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2301009165
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950A111570
BCBSMI
MI
Enumeration date
07/12/2006
Last updated
03/20/2009
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