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Individual

MICHAEL WALTER PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1901 ULMERTON RD STE 450, CLEARWATER, FL 33762-2300
(508) 450-6803
Mailing address
1901 ULMERTON RD STE 450, CLEARWATER, FL 33762-2300

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9325068
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9325068
FL

Other

Enumeration date
10/27/2016
Last updated
01/27/2025
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