Individual
PETER KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COMPANY OWNER
Contact information
Practice address
6511 BLUE SPRUCE CT, WEST BLOOMFIELD, MI 48324-3713
(248) 795-3613
Mailing address
6511 BLUE SPRUCE CT, WEST BLOOMFIELD, MI 48324-3713
(248) 795-3613
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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