Individual
KATHLEEN A PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 NORTH ST, HILLSDALE, MI 49242-1628
(517) 437-5385
Mailing address
39 NORTH ST, HILLSDALE, MI 49242-1628
(174) 375-3855
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704209441
MI
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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