Individual
TIMOTHY J PELKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7166
Mailing address
PO BOX 1629, LIMA, OH 45802-1629
(877) 378-4293
(419) 223-2726
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
4301072203
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301072203
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942296785
—
MI
Enumeration date
09/27/2005
Last updated
07/14/2021
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