Organization
ALAN P PETER DO PC
Active
Other names
Macomb Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN P PETER DO (OWNER PRESIDENT)
(586) 992-9970
Entity
Organization
Contact information
Practice address
16800 24 MILE RD, SUITE 4, MACOMB TWP, MI 48042
(586) 992-9970
(586) 992-9972
Mailing address
16800 24 MILE RD, SUITE 4, MACOMB TWP, MI 48042
(586) 992-9970
(586) 992-9972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101014745
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E02052
BCBS GROUP PIN
MI
05
—
114933018
—
MI
Enumeration date
09/05/2006
Last updated
12/28/2008
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