NPI 1114983913

Carl Matthew Pesta, DO

Practitioner Surgery Physician Mount Clemens, MI

Practice location

Address: 1030 Harrington St 302a, Mount Clemens, MI 48043-2967
Phone: (586) 759-2005
Fax: (586) 759-2636
Mailing address: 1030 Harrington St Suite 302a, Mount Clemens, MI 48043-2967

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 5101013083 (MI)

Other Surgery providers in Michigan →

Registry record

NPI: 1114983913
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Apr 2006
Record last updated: 26 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.