Individual
PETER P LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43331 COMMONS DR, CLINTON TOWNSHIP, MI 48038-1109
(586) 263-5410
(586) 263-7131
Mailing address
880 N CRANBROOK RD, BLOOMFIELD HILLS, MI 48301-2617
(305) 608-5977
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
41107
TX
208600000X
Surgery Physician
Primary
4301056111
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316031339
GROUP NPI
MI
05
—
177143801
—
TX
Enumeration date
08/24/2006
Last updated
02/03/2021
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