Individual
DR. WILLIAM JOHN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
23100 CHERRY HILL ST, DEARBORN, MI 48124-1493
(313) 278-5444
(313) 278-4800
Mailing address
23100 CHERRY HILL ST, SUITE 5, DEARBORN, MI 48124-1493
(313) 278-5444
(313) 278-4800
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901000724
MI
213E00000X
Podiatrist
P0790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480H234160
BCBSM
MI
01
—
4858210820
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/07/2006
Last updated
01/29/2010
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