Individual
MICHELLE RENEE PEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3682 W DEREN RD, LUDINGTON, MI 49431-9741
(231) 233-3403
Mailing address
3682 W DEREN RD, LUDINGTON, MI 49431-9741
(231) 233-3403
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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