Organization
HOWARD PESCHKE DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD PESCHKE DPM (PHYSICIAN)
(734) 282-4300
Entity
Organization
Contact information
Practice address
13308 EDISON ST, SOUTHGATE, MI 48195-1076
(734) 282-4300
Mailing address
13308 EDISON ST, SOUTHGATE, MI 48195-1076
(734) 282-4300
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901400131
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4384847
—
MI
Enumeration date
08/22/2006
Last updated
05/11/2009
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