Individual
CHRISTOPHER LEE PETOSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
20095 GILBERT RD, BIG RAPIDS, MI 49307-2365
(231) 592-1360
(231) 592-1361
Mailing address
20095 GILBERT RD, BIG RAPIDS, MI 49307-2365
(231) 592-1360
(231) 592-1361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704420004
MI
363LF0000X
Family Nurse Practitioner
4704420004
MI
363LF0000X
Family Nurse Practitioner
SP030312
PA
Other
Enumeration date
08/06/2024
Last updated
12/18/2024
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