Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. MARK EDWARD PETERSON
Active
Individual
DR. MARK EDWARD PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13556
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124241245
—
MI
01
—
D135560
BLUE CROSS ID
—
Enumeration date
05/24/2006
Last updated
03/14/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers