Individual
DR. PETER J. STOYANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 257-9429
(810) 257-9104
Mailing address
1 HURLEY PLZ, 5TH FLOOR S.O.N., FLINT, MI 48503-5902
(810) 762-7038
(810) 760-0440
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301057515
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B51090
BLUE SHIELD
MI
05
—
3423664
—
MI
Enumeration date
10/12/2006
Last updated
06/29/2022
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