Individual
HEIDI JANE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3250 US41 WEST, MARQUETTE, MI 49855
(906) 226-0095
Mailing address
155 S ROSE ST, ISHPEMING, MI 49849-2735
(906) 485-4978
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034260
MI
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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