Individual
SAMUEL PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
224 ALBANY ST, KALAMAZOO, MI 49001-4735
(734) 552-9066
Mailing address
224 ALBANY ST, KALAMAZOO, MI 49001-4735
(734) 552-9066
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000958
MI
Other
Enumeration date
01/22/2014
Last updated
01/09/2015
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