Individual
MRS. KRISTIN RENE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
7850 BARNES RD, MILLINGTON, MI 48746-9520
(989) 385-0957
Mailing address
7850 BARNES RD, MILLINGTON, MI 48746-9520
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5201009377
MI
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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