Individual
PETER MALCOLM WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
10401 ONONDAGA RD, ONONDAGA, MI 49264-9630
(517) 745-0923
Mailing address
10401 ONONDAGA RD, ONONDAGA, MI 49264-9630
(517) 745-0923
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704201699
MI
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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