Individual
DR. JEFFREY PETERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 MAGAZINE ST, SUITE 102, SAULT SAINTE MARIE, MI 49783-1867
(906) 253-9374
(906) 253-9002
Mailing address
333 MAGAZINE ST, SUITE 102, SAULT SAINTE MARIE, MI 49783-1867
(906) 253-9374
(906) 253-9002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301073421
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4369143
—
MI
Enumeration date
10/11/2006
Last updated
07/08/2007
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