DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LIVONIA DERMATOLOGY PLLC

MEDICARE: LIVONIA DERMATOLOGY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician

General Provider Information

NPI Number : 1457406217
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIVONIA DERMATOLOGY PLLC
Provider Business Mailing Address
First Line : 14801 FARMINGTON RD
Second Line :
City : LIVONIA
State : MI
Zip : 48154-5429
Country : US
Telephone Number : 734-542-8100
Fax Number : 734-542-8168
Provider Business Practice Location Address
First Line : 14801 FARMINGTON RD
Second Line :
City : LIVONIA
State : MI
Zip : 48154-5429
Country : US
Telephone Number : 734-542-8100
Fax Number : 734-542-8168
Authorized Official
Title or Position : OWNER
Name : DR. DAVID PEGOUSKE
Credential : M.D.
Telephone Number : 734-542-8100
Provider Enumeration Date : 01/24/2007
Last Update Date : 12/06/2011

Similar Medicare Providers

1750236832 — SARAH EAHROW MSN, RN, FNP-C
Practice Location Address:
14815 FARMINGTON RD
LIVONIA, MI
48154-5429
Practice Phone: 734-280-2600
Practice Fax:
1013395961 — MARK GORALEWSKI MD
Practice Location Address:
14801 FARMINGTON RD
LIVONIA, MI
48154-5429
Practice Phone: 734-542-8100
Practice Fax:
1649098864 — JENNIFER ESKILDSEN FNP-C
Practice Location Address:
14801 FARMINGTON RD
LIVONIA, MI
48154-5429
Practice Phone: 734-542-8100
Practice Fax:
1952119307 — MICHIGAN FERTILITY INSTITUTE PC
Practice Location Address:
14801 FARMINGTON RD
LIVONIA, MI
48154-5429
Practice Phone: 313-444-0064
Practice Fax:
1326856774 — MICHIGAN REPRODUCTIVE SURGERY CENTER PC
Practice Location Address:
14801 FARMINGTON RD
LIVONIA, MI
48154-5429
Practice Phone: 313-444-0064
Practice Fax:
1952119315 — MICHIGAN REPRODUCTIVE LABS PC
Practice Location Address:
14801 FARMINGTON RD
LIVONIA, MI
48154-5429
Practice Phone: 313-444-0064
Practice Fax:

Directions to “LIVONIA DERMATOLOGY PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.