Individual
MARCIA R PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
825 S HURON ST, CHEBOYGAN, MI 49721-2276
(231) 627-5627
(231) 627-5435
Mailing address
825 S HURON ST, CHEBOYGAN, MI 49721-2276
(231) 627-5627
(231) 627-5435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704222463
MI
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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