Individual
PETER KENNETH SHIREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1774 PECK ST, MUSKEGON, MI 49441-2533
(231) 728-5758
(231) 728-5636
Mailing address
3967 NORTON HILLS RD, NORTON SHORES, MI 49441-4456
(231) 780-3236
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301050218
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1543841
—
MI
Enumeration date
06/07/2006
Last updated
09/14/2021
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