Individual
DR. DANIEL PEISACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, UHC 9C, DETROIT, MI 48201-2153
(734) 769-0310
Mailing address
1738 WAVERLY RD, ANN ARBOR, MI 48103-5650
(734) 769-0310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301500647
MI
Other
Enumeration date
04/27/2014
Last updated
01/07/2020
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