Individual
SUSAN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
384 N 3RD AVE, FRUITPORT, MI 49415-9788
(231) 865-7706
(231) 865-7707
Mailing address
384 N 3RD AVE, FRUITPORT, MI 49415-9788
(231) 965-7706
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501003027
MI
Other
Enumeration date
09/30/2008
Last updated
02/04/2013
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