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Individual

DR. PETER J BIRKELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
16 NORTH MONROE, ROCKFORD, MI 49341
(616) 866-4830
(616) 866-4944
Mailing address
16 NORTH MONROE, ROCKFORD, MI 49341
(616) 866-4830
(616) 866-4944

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006087
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041792
VALUE OPTIONS
01
680D1496D
BCBS MICHIGAN
MI
Enumeration date
09/26/2006
Last updated
07/08/2007
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