Individual
WILLIAM JON PORTER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY, ANN ARBOR, MI 48109-5301
(734) 936-6666
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301105093
MI
Other
Enumeration date
05/16/2014
Last updated
01/03/2019
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