Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN PENLEY, AT
Active Sole ProprietorJOHN PENLEY, AT is a Sports Medicine (PM&R) healthcare provider located in WHITE LAKE, Michigan. NPI 1326583170 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · WHITE LAKE, MI
Registration Details
- NPI Number
- 1326583170
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2017 (9.5666192552514 yrs)
- Last Updated
- Jan 4, 2017
- License
-
2601001645 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1630 BOGIE LAKE RDWHITE LAKE, MI, 48383Browse MI providers · Browse ZIP 48383
- Phone
- 7344740783
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
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.