Individual
ANGELA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-7095
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5151015993
MI
Other
Enumeration date
03/31/2023
Last updated
07/17/2023
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