Individual
SAMANTHA JOANNE PESZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3601 W 13 MILE RD STE EC, ROYAL OAK, MI 48073-6712
(248) 898-5058
(248) 898-2017
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1865
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704320253
MI
363LF0000X
Family Nurse Practitioner
Primary
4704320253
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
02/05/2021
Last updated
02/24/2025
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