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Philip Pelton

NPI 1275117319 · on the registry since 2021

Practice

Address
255 Romence Rd
Portage, MI 49024
Phone
(269) 324-0800
Fax
(269) 324-0894

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan