Individual
DR. BRANDON ROBERT PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2349
(231) 947-0673
Mailing address
4624 N SPIDER LAKE RD, TRAVERSE CITY, MI 49696-8440
(231) 947-0673
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101015943
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101015943
PHYSICIAN LICENSE
MI
Enumeration date
06/14/2006
Last updated
07/27/2021
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