Most Relevant Information
Provider Data
| NPI Number: | 1003288531 |
| Provider Name: | PETER SKELLENGER |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 4704285403 |
Most Important Dates
| Enumeration Date: | 10/23/2015 |
| Last Updated: | 01/09/2016 |
Provider Practice Location
714 SPRUCE ST
APT #E
MARQUETTE
MI
498553747
Practice Location Phone/Fax
| Phone: | 9063993611 |
| Fax: |
Provider Mailing Location
714 SPRUCE ST
APT #E
MARQUETTE
MI
498553747
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |