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Individual

DR. REBECCA PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
250 CHERRY ST SE, GRAND RAPIDS, MI 49503-4608
(616) 685-5231
Mailing address
1192 GREENDALE CT SE, BYRON CENTER, MI 49315-6990
(616) 560-7666

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704224580
MI

Other

Enumeration date
10/19/2021
Last updated
10/19/2021
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