Michael David Pearl, DO Valid NPI
Individual provider · Sports Medicine (Family Medicine) Physician · Detroit, MI
- NPI
- 1104492560
- Type
- Individual (Type 1)
- Primary specialty
- Sports Medicine (Family Medicine) Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207QS0010X
- License number
- 5101028046 (MI)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-05-27
- Last updated
- 2024-07-03
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
(313) 916-2600