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Individual

MARTI J PETERS-SPARLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
601 JOHN ST, SUITE M020, KALAMAZOO, MI 49007-5341
(269) 341-8282
(269) 341-8258
Mailing address
601 JOHN ST, SUITE M 020, KALAMAZOO, MI 49007-5341
(269) 341-8282
(269) 341-8258

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301084217
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080C910950
BCBSM
MI
05
1285754101
MI
05
5178709
MI
05
5178880
MI
Enumeration date
04/02/2007
Last updated
11/27/2023
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