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Individual
MRS. TERI S. PEAK
Active
Individual
MRS. TERI S. PEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704246990
MI
363LA2200X
Adult Health Nurse Practitioner
71002118A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700836699
—
MI
Enumeration date
05/11/2006
Last updated
08/21/2014
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