Individual
DR. EDWARD PETERS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1002 OLD U.S. 27, ST. JOHNS, MI 48879
(989) 224-3937
Mailing address
1002 OLD U.S. 27, ST. JOHNS, MI 48879
(989) 224-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005114
MI
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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