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Organization

GELESKO CHIROPRACTIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER JOHN GELESKO DC (PRESIDENT)
(269) 429-1982
Entity
Organization

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
23010091165
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
950A111590
BCBSMI
MI
Enumeration date
09/05/2006
Last updated
03/20/2009
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