Individual
DR. TREVOR PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
430150413
MI
207L00000X
Anesthesiology Physician
C4731
KY
Other
Enumeration date
04/14/2017
Last updated
10/29/2025
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