Individual
PETER SABIITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6395
Mailing address
1197 STONEBROOK CT NE, GRAND RAPIDS, MI 49505-7220
(706) 589-1756
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
054559748
GA
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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