Individual
DR. BRIAN JON PETERSBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8641 W GRAND RIVER AVE, SUITE 6, BRIGHTON, MI 48116-4353
(810) 227-4224
(810) 227-4660
Mailing address
6355 BRIGHTON RD, BRIGHTON, MI 48116-9742
(810) 227-5874
(810) 227-5898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901010174
MI
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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