Individual
MRS. PATTI JO PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 JEFFERSON SE, GRAND RAPIDS, MI 49503
(616) 685-5000
(616) 685-3084
Mailing address
245 STATE ST SE, STE 221, GRAND RAPIDS, MI 49503
(616) 685-1808
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704151401
MI
363LN0000X
Neonatal Nurse Practitioner
1494303
MI
Other
Enumeration date
03/31/2006
Last updated
07/16/2009
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