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Individual

EVAN PESKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD MBA

Contact information

Practice address
4800 S SAGINAW ST STE 1800, FLINT, MI 48507-2677
(810) 732-9333
Mailing address
1611 NW 12TH AVE, (C-301), MIAMI, FL 33136-1005
(305) 585-6970

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301507484
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
149677
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301507484
MI
208100000X
Physical Medicine & Rehabilitation Physician
4301507484
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
4301507487
MI
208VP0000X
Pain Medicine Physician
4301507484
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301507484
MI

Other

Enumeration date
03/28/2017
Last updated
01/26/2024
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