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Individual

MS. ANN S PEKAREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN,BC

Contact information

Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-6114
Mailing address
3700 EATON GATE LN, AUBURN HILLS, MI 48326-3894
(313) 220-2342

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704131205
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
500F31190
BCBSM
Enumeration date
02/06/2006
Last updated
04/15/2008
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