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Individual

DR. PETER MIKE RANTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
309 W 12TH AVE, SUITE 101, SAULT SAINTE MARIE, MI 49783-2885
(906) 253-0400
(906) 253-0401
Mailing address
309 W 12TH AVE, SUITE 101, SAULT SAINTE MARIE, MI 49783-2885
(906) 253-0400
(906) 253-0401

Taxonomy

Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
4301082835
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4609268
MI
Enumeration date
05/19/2006
Last updated
02/05/2008
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