Individual
DR. DAVID PEGOUSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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