Individual
DR. JOHN CLEVE PETERSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
7030 N MERCER WAY, MERCER ISLAND, WA 98040-2130
(206) 232-7669
(206) 232-7679
Mailing address
7030 N MERCER WAY, MERCER ISLAND, WA 98040-2130
(206) 232-7669
(206) 232-7679
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
11059
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
11059
WA
Other
Enumeration date
09/06/2006
Last updated
09/11/2025
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