Individual
DR. MARTIN MITCHELL PEVZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
32270 TELEGRAPH RD, SUITE 120, BINGHAM FARMS, MI 48025-2456
(248) 646-1965
(248) 594-7158
Mailing address
32270 TELEGRAPH RD, SUITE 120, BINGHAM FARMS, MI 48025-2456
(248) 646-1965
(248) 594-7158
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301029995
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15748575
—
MI
Enumeration date
10/13/2006
Last updated
10/24/2016
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