Individual
MICHAEL L PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6808 S MEMORIAL DR STE 100, TULSA, OK 74133-2066
(918) 481-0655
(918) 481-8729
Mailing address
6808 S MEMORIAL DR STE 100, TULSA, OK 74133-2066
(918) 481-0655
(918) 481-8729
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
3020
OK
Other
Enumeration date
08/24/2006
Last updated
11/24/2009
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