Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK W PEARL, DO
Active Sole ProprietorDR. JACK W PEARL, DO is a Allergy & Immunology healthcare provider located in PLYMOUTH, Michigan. NPI 1306804703 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · PLYMOUTH, MI
Registration Details
- NPI Number
- 1306804703
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2006 (20.3265867083 yrs)
- Last Updated
- Jan 14, 2010
- License
-
5101004511 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9398 N LILLEY RDPLYMOUTH, MI, 481704610Browse MI providers · Browse ZIP 48170
- Phone
- 7344592255
- Fax
- 7344591855
- Primary Specialty
-
Allergy & Immunology
207K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.