John Penley, AT

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1326583170

John Penley, AT is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in White Lake, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in: MI
In the registry since: 2017

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Practice location Address checks out

1630 Bogie Lake Rd
White Lake, MI 48383
Phone: (734) 474-0783

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Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary)	Taxonomy 2081S0010X · Licence 2601001645 (MI)

Record details

NPI number	1326583170
Entity type	Individual (Type 1)
Gender	Male
Credentials	AT
Sole proprietor	Yes
NPI enumerated	January 4, 2017
Last updated in NPPES	January 4, 2017
Mailing address	Po Box 1356, Brighton, MI 48116