Organization
ROBERT G. PETERSON, D.C., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GERARD PETERSON D.C. (PRESIDENT)
(248) 449-4757
Entity
Organization
Contact information
Practice address
24360 NOVI RD, B-1, NOVI, MI 48375-2404
(248) 449-4757
(248) 735-2446
Mailing address
24360 NOVI RD, B-1, NOVI, MI 48375-2404
(248) 449-4757
(248) 735-2446
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006979
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F328130
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/30/2008
Last updated
04/30/2008
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