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NPI Code Detail

MEDICARE: DR. JOHN MICHAEL PELACHYK M.D.

MEDICARE:  DR. JOHN MICHAEL PELACHYK  M.D.
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
1207ND0900XDermatopathology Physician4301042820MI

General Provider Information

NPI Number : 1528052834
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MICHAEL PELACHYK M.D.
Provider Business Mailing Address
First Line : 9280 BARTEL RD
Second Line :
City : COLUMBUS
State : MI
Zip : 48063-4204
Country : US
Telephone Number : 586-727-3643
Fax Number :
Provider Business Practice Location Address
First Line : 9280 BARTEL RD
Second Line :
City : COLUMBUS
State : MI
Zip : 48063-4204
Country : US
Telephone Number : 586-727-3643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 04/25/2022

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Directions to “ DR. JOHN MICHAEL PELACHYK M.D.” Practice Location

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