Individual
DR. ROBERT G PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
24360 NOVI RD, B-1, NOVI, MI 48375-2404
(248) 449-4757
(248) 735-2446
Mailing address
25421 RIVERVIEW, NOVI, MI 48375
(248) 449-3069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006979
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301006979
STATE DC LICENSE
MI
Enumeration date
05/01/2007
Last updated
02/26/2008
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