Individual
PETER J CLIVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2770 MAIN ST, MARLETTE, MI 48453-1141
(989) 635-1833
(810) 385-0933
Mailing address
2815 BARDAMAR DR, FORT GRATIOT, MI 48059-3505
(810) 385-9621
(810) 385-0933
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
067301
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3284434
—
MI
Enumeration date
08/12/2006
Last updated
03/21/2017
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