Organization
HEALTH MANAGEMENT COSULTIONS
Active
Other names
Redicare South
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PETERS DO (OWNER)
(517) 694-4134
Entity
Organization
Contact information
Practice address
6910 S CEDAR ST, LANSING, MI 48911-6912
(517) 694-4134
(517) 908-3981
Mailing address
6910 S CEDAR ST, LANSING, MI 48911-6912
(517) 694-4134
(517) 908-3981
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DP008207
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700C361780
BLUE CROSS ID
MI
Enumeration date
05/25/2010
Last updated
05/25/2010
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