person
Dr. Anjelica Peacock, MD
General Practice Physician in Livonia, Michigan
NPI 1831651710

Anjelica Peacock is a General Practice Physician based in Independence, MI. Anjelica Peacock practices in Livonia, MI and has the professional credentials of MD. The NPI Number for Anjelica Peacock is 1831651710 and holds a License No. (Michigan).

The current practice location address for Anjelica Peacock is 36475 Five Mile Rd, Livonia, MI and can be reached out via phone at 734-655-4800 and via fax at 734-655-2911. You can also correspond with Anjelica Peacock through the mailing address at 4500 ROCKSIDE RD, INDEPENDENCE, OH - 44131-2131 (mailing address contact number: 216-278-7500).

Location: 36475 Five Mile Rd, Livonia, MI, 44131-2131
person
Provider Profile Details
NPI Number
1831651710
Provider Name
Anjelica Peacock
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
36475 Five Mile Rd, Livonia, MI, 44131-2131
Phone Number
734-655-4800
Fax Number
734-655-2911
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
36475 Five Mile Rd
City
State
Zip
48154-1971
Phone Number
734-655-4800
Fax Number
734-655-2911
person
Provider Business Mailing Address Details
Address
4500 Rockside Rd
City
State
Zip
44131-2131
Phone Number
216-278-7500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
35.142051 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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