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Individual

DR. DAVID M PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6910 S CEDAR ST, LANSING, MI 48911-6912
(517) 694-4134
(517) 694-1629
Mailing address
6910 S CEDAR ST, LANSING, MI 48911-6912
(517) 694-4134
(517) 694-1629

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DP008207
MI
208D00000X
General Practice Physician
Primary
DP008207
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1001919
MCLAREN
MI
01
700C361780
BCBS
MI
01
DP008207
LICENSE NUMBER
MI
Enumeration date
01/31/2007
Last updated
06/25/2014
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