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Individual

DR. GARY PEPPIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4350 JACKSON RD, SUITE 200, ANN ARBOR, MI 48103-1889
(734) 761-2581
(734) 995-0425
Mailing address
24 FRANK LLOYD WRIGHT DR, J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301057654
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588676399
MI
Enumeration date
08/12/2006
Last updated
12/14/2016
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