Individual
DR. MARTINA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
306 MAIN ST, EAST JORDAN, MI 49727-5127
(231) 675-0733
Mailing address
PO BOX 493, EAST JORDAN, MI 49727-0493
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010699
MI
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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