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Individual

DR. PETER FARAGO III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
17888 MACK AVE, GROSSE POINTE, MI 48230-6234
(519) 258-4771
(519) 258-4793
Mailing address
17888 MACK AVE, GROSSE POINTE, MI 48230-6234
(888) 849-1080

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301093157
MI
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
4301093157
MI

Other

Enumeration date
10/14/2008
Last updated
12/02/2022
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