Individual
DR. PETER JOHN MICHAELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2029 S 17TH ST, WILMINGTON, NC 28401-6600
(910) 798-6500
Mailing address
6400 HEAD RD, WILMINGTON, NC 28409-2220
(910) 616-8907
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NC
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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