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1528639135
MICHAEL JAMES PENISTON
DETROIT, MI
NPI
1528639135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4351047745)
Enumeration Date
2021-07-06
Last Update Date
2024-06-25
Business Address
MICHAEL JAMES PENISTON MD
22201 MOROSS RD STE 170
DETROIT, MI 48236-2152
Phone number: 313-886-8787
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Mailing Address
MICHAEL JAMES PENISTON MD
22201 MOROSS RD STE 170
DETROIT, MI 48236-2152
Phone number: 313-886-8787
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