Individual
DANITA LUCETTE PEOPLES-PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5103 EASTMAN AVE, SUITE 255, MIDLAND, MI 48640
(989) 832-7915
(989) 832-7915
Mailing address
5103 EASTMAN AVE, SUITE 255, MIDLAND, MI 48640
(989) 832-7915
(989) 832-0080
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301046057
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP046057
BLUE CROSS BLUE SHIELD MI
—
Enumeration date
09/25/2006
Last updated
07/08/2007
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