Individual
PETER BLAKEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4660 S HAGADORN RD STE 500, EAST LANSING, MI 48823-6804
(517) 432-6144
(517) 432-6150
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 432-6144
(517) 432-6150
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5101018477
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821251208
—
MI
Enumeration date
07/07/2008
Last updated
06/27/2023
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