Individual
MICHAEL W PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 531-8808
(419) 531-8877
Mailing address
7071 W CENTRAL AVE, TOLEDO, OH 43617-2700
(419) 843-1370
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN384491
OH
Other
Enumeration date
09/24/2012
Last updated
03/28/2017
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