Search › Michigan › 363LF0000X
Justin Peklo
NPI 1750876181 · on the registry since 2018 · sole proprietor
Practice
- Address
- 21777 21 Mile Rd
Macomb, MI 48044 - Phone
- (866) 389-2727
- Organisation at this address
- Woodward Detroit Cvs, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-03
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