Individual
MICHAEL PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
6200 MERLE HAY RD, JOHNSTON, IA 50131-1225
(515) 331-0497
Mailing address
900 65TH ST APT 54, WINDSOR HEIGHTS, IA 50324-1063
(507) 236-1913
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21739
IA
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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