Joel L Pelavin MD PC
NPI #1164559605 in Saint Clair Shores, Michigan
Provider Information
- NPI Number
- 1164559605
- Entity Type
- Organization
- Organization Name
- Joel L Pelavin MD PC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Feb 28, 2007
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 29750 HARPER AVE
- State
- Michigan
- ZIP Code
- 48082-2607
- Phone
- (586) 296-7770
Authorized Official
- Name
- MISS TRACY L HALPIN, C O A
- Title
- BILLER
- Phone
- (586) 296-7770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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