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Individual
PETER R HANDLEY
Active
Individual
PETER R HANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
138617
MT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301063467
MI
207R00000X
Internal Medicine Physician
138617
MT
207R00000X
Internal Medicine Physician
Primary
4301063467
MI
208000000X
Pediatrics Physician
138617
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103452020
—
MI
01
—
110233602
RAILROAD MEDICARE
MI
01
—
700F960010
BLUE CROSS
MI
Enumeration date
11/22/2006
Last updated
10/21/2024
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