Individual
JUSTIN JOHN PEKLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21777 21 MILE RD, MACOMB, MI 48044-2962
(866) 389-2727
Mailing address
21777 21 MILE RD, MACOMB, MI 48044-2962
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704307050
MI
Other
Enumeration date
06/27/2018
Last updated
08/03/2020
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