Individual
MICHAEL GORDON PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 COOPER AVE STE 4300, SAGINAW, MI 48602-5182
(989) 583-7460
(989) 583-7432
Mailing address
900 COOPER AVE STE 4300, SAGINAW, MI 48602-5182
(989) 583-7460
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704315175
MI
Other
Enumeration date
02/05/2025
Last updated
05/20/2025
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