Individual
MINDY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6480 TECHNOLOGY AVE, KALAMAZOO, MI 49009-8116
(269) 250-8000
Mailing address
8133 RAVINE RD, KALAMAZOO, MI 49009-9004
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
4704327244
MI
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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