Individual
DR. PATTI LYNN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1205 PYLE DR, KINGSFORD, MI 49802-1132
(906) 779-7100
(906) 779-7101
Mailing address
1205 PYLE DR, KINGSFORD, MI 49802-1132
(906) 779-7100
(906) 779-7101
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301045762
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32569100
—
MI
Enumeration date
09/09/2005
Last updated
07/06/2012
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