Individual
DR. LINDSAY F PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2799 WEST GRAND BOULEVARD, CFP 369, DETROIT, MI 48202
(313) 399-4967
(313) 916-9556
Mailing address
2799 WEST GRAND BOULEVARD, CFP 369, DETROIT, MI 48202
(313) 399-4967
(313) 916-9556
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125-058452
IL
208600000X
Surgery Physician
4301106616
MI
2086X0206X
Surgical Oncology Physician
Primary
4301106616
MI
Other
Enumeration date
06/11/2010
Last updated
02/05/2021
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