Individual
JAMIE PEYSAKHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
8180 26 MILE RD 300, SHELBY TOWNSHIP, MI 48316-5139
(586) 786-5900
(586) 992-9331
Mailing address
8180 26 MILE RD 300, SHELBY TOWNSHIP, MI 48316-5139
(586) 786-5900
(586) 992-9331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005149
MI
Other
Enumeration date
11/15/2010
Last updated
07/17/2020
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