SearchMichigan2081S0010X

John Penley, AT

NPI 1326583170 · on the registry since 2017 · sole proprietor

Practice

Address
1630 Bogie Lake Rd
White Lake, MI 48383
Phone
(734) 474-0783

Registry record

Primary taxonomy
2081S0010X
2081S0010X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-04

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