Individual
MR. WILLIAM PAUL PETERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E MICHIGAN AVE, STE 370, LANSING, MI 48912-1800
(517) 484-4451
(517) 484-0291
Mailing address
1200 E MICHIGAN AVE, STE 370, LANSING, MI 48912-1800
(517) 484-4451
(517) 484-0291
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301051190
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103037120
—
MI
Enumeration date
09/14/2005
Last updated
12/19/2007
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