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Deactivated NPI 1770637787 Deactivated / Inactive NPI Male Practitioner

Dr. Michael S Pezo , DC

Chiropractor • Long Lake, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Pezo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 23, 2007
NPI Deactivation Date January 09, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Pezo, DC was a registered Chiropractor practicing in Long Lake, MI. Throughout an active medical career spanning 18 years, Dr. Pezo provided care at the practice location at 8632 FRONT ST until profile deactivation on 2025-01-09.

Practice Location & Contact Primary Location

Practice Address

8632 Front St

Long Lake, MI 48743

Telephone 9892573102

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Long Lake, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Long Lake, MI (3252 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MI MP001966

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1588672547

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 09, 2025

Record deactivated on January 09, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 8632 FRONT ST, LONG LAKE, MI 48743 (Tel: 9892573102)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 2, 8632 FRONT ST, LONG LAKE, MI 40743 (Tel: 9892573102)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL PEZO, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #MP001966 in MI)

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Initial NPI Registration & Enumeration January 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770637787
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2007
Last Update: July 08, 2007
Deactivation Date: January 09, 2025

Mailing Address

Po Box 2, 8632 Front St

Long Lake, MI 40743

Phone: 9892573102

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.