Individual
DR. ALEXANDER JAMES PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2165 N TELEGRAPH RD, MONROE, MI 48162-8947
(734) 243-1200
Mailing address
2517 BROOKWOOD DR, MIDLAND, MI 48640-2430
(989) 708-0236
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600150
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2019
Last updated
06/19/2019
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