Individual
DR. DAVID PEGOUSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14801 FARMINGTON RD, LIVONIA, MI 48154
(734) 542-8100
(734) 542-8168
Mailing address
14801 FARMINGTON RD, LIVONIA, MI 48154
(734) 542-8100
(734) 542-8168
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301070087
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0708217311
BCBSM
MI
01
—
12005406
MULTIPLAN
MI
01
—
133931
CARE CHOICES
MI
01
—
5479258
CNN FIRST HEALTH
MA
01
—
6180642
CIGNA
MI
01
—
6180642003
CHANDLER PHS
MI
01
—
C7845
M-CARE OF MICHIGAN
MI
01
—
H36350
HAP INSURANCE
MI
Enumeration date
09/01/2006
Last updated
12/09/2011
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