Individual
PETER J YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1140 E MICHIGAN AVE STE 400, LANSING, MI 48912-1806
(517) 364-9650
(517) 364-9605
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-9650
(517) 364-9605
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301092035
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A758640
—
CA
05
—
1720022205
—
MI
Enumeration date
06/15/2006
Last updated
09/20/2019
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