Individual
DR. RICHARD WILLIAM PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 672-3601
(231) 672-3061
Mailing address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 672-3601
(231) 672-3061
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301034774
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1543841
—
MI
01
—
18715
COMMUNITY CHOICE OF MICHI
MI
01
—
20009672
RAILROAD MEDICARE
MI
01
—
970236
COMMUNITY CARE PLAN
MI
Enumeration date
08/31/2006
Last updated
07/08/2007
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