Individual
DR. MICHAELA A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, FACO
Contact information
Practice address
650 MAIN ST, BRANFORD, CT 06405-3613
(203) 481-6150
(203) 481-0411
Mailing address
36 WOODVALE RD, BRANFORD, CT 06405-3927
(203) 481-0510
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CT0469
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046900
CTCARE
CT
01
—
050000469CT01
BCBS
CT
01
—
350052269
RAILROAD MEDICARE
CT
01
—
CT00469
LANDMARK
CT
01
—
NHS019
OXFORD/TRIAD
CT
01
—
OV4757
HEALTHNET
CT
Enumeration date
01/25/2006
Last updated
01/07/2010
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