Individual
ERIK CHRISTOPHER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
230 MICHIGAN ST NE STE 230, GRAND RAPIDS, MI 49503
(616) 774-2822
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704282358
MI
Other
Enumeration date
01/22/2018
Last updated
02/25/2021
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