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Search › Michigan › 183500000X

Peter Ponomarev

NPI 1881061984 · on the registry since 2015 · sole proprietor

Practice

Address
15600 W 10 Mile Rd Unit 1b
Southfield, MI 48075
Phone
(248) 569-7578
Organisation at this address
Inmed Llc
Pharmap Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-25

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