Individual
DR. STEPHEN W PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
206 CYPRESS ST, MANISTEE, MI 49660-1700
(231) 723-6213
(231) 723-2736
Mailing address
206 CYPRESS ST, MANISTEE, MI 49660-1700
(231) 723-6213
(231) 723-2736
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
013694
MI
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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