Individual
MRS. PENSRI P GELETKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15150 FORT ST, SOUTHGATE, MI 48195-1302
(734) 282-4800
(734) 282-9302
Mailing address
15150 FORT ST, SOUTHGATE, MI 48195-1302
(734) 282-4800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704299683NSA2403O
MI
Other
Enumeration date
02/22/2024
Last updated
11/24/2024
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