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Individual

JOEL A. PERLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
15777 NORTHLINE RD STE 200, SOUTHGATE, MI 48195-2354
(734) 246-8100
(313) 581-0228
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101006866
MI
208D00000X
General Practice Physician
5101006866
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010049845
PALMETTO
MI
01
0Q260790
BCBSM
MI
05
3078099
MI
Enumeration date
02/09/2006
Last updated
10/22/2020
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