Individual
MRS. MARTHA E PEZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8632 FRONT STREET, LONG LAKE, MI 48743
(989) 257-3102
(989) 257-3104
Mailing address
PO BOX 2, 8632 FRONT STREET, LONG LAKE, MI 48743
(989) 257-3102
(989) 257-3104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MP002045
MI
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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