Individual
DR. ANDREW JOHN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1010 N 3RD ST, MARQUETTE, MI 49855-3510
(906) 228-7087
Mailing address
1010 N 3RD ST, MARQUETTE, MI 49855-3510
(906) 228-7087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021570
MI
Other
Enumeration date
06/02/2015
Last updated
04/25/2017
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