Individual
IGNAZIO DOMINIC PERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5889 WHITMORE LAKE RD STE A, BRIGHTON, MI 48116-1998
(810) 227-4155
(810) 227-0845
Mailing address
5889 WHITMORE LAKE RD, BRIGHTON, MI 48116-1998
(810) 227-4155
(810) 227-0845
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001888
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3113590
—
MI
Enumeration date
10/02/2006
Last updated
06/29/2010
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