Individual
MICHAEL JOSEPH STPETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
66 HUGHES RD, MADISON, AL 35758-2220
(256) 461-7100
(256) 461-7101
Mailing address
66 HUGHES RD, MADISON, AL 35758-2220
(256) 461-7100
(256) 461-7101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC51TA902
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100394118
GROUP NPI
AL
Enumeration date
10/07/2011
Last updated
07/02/2019
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