Individual
MATTHEW EVAN PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 343-3900
Mailing address
1701 N SENATE BLVD # AG012, INDIANAPOLIS, IN 46202-1239
(317) 880-3900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301511532
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
05/20/2024
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