Individual
CHRISTINIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
24887 GODDARD RD, TAYLOR, MI 48180-3930
(734) 946-5410
Mailing address
24887 GODDARD RD, TAYLOR, MI 48180-3930
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704275452
MI
Other
Enumeration date
03/31/2016
Last updated
07/16/2016
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