# JASON N PETER DO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881986677
- **Authorized official:** JASON N PETER DO (DO)
- **Authorized official phone:** (586) 939-3304

## Contact information

- **Practice address:** 5456 15 MILE RD, STE 102, STERLING HEIGHTS, MI 48310-5110
- **Practice address phone:** (586) 939-3044
- **Mailing address:** 1059 FLOYD ST, BIRMINGHAM, MI 48009-3634
- **Mailing address phone:** (586) 939-3304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 5101014928 | MI | Yes |

## Other

- **Enumeration date:** 05/11/2011
- **Last updated:** 05/11/2011