Individual
DR. MICHAEL WAYNE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5104 US HIGHWAY 431, ALBERTVILLE, AL 35950-0237
(256) 878-8180
(256) 891-3693
Mailing address
5104 US HIGHWAY 431, ALBERTVILLE, AL 35950-0237
(256) 878-8180
(256) 891-3693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7348
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000004958
MEDICARE
AL
05
—
000004958
—
AL
01
—
051004958
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/05/2006
Last updated
05/26/2015
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