Individual
CHRISTIE LYNN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, HIS
Contact information
Practice address
2325 SUMMIT PARK DR STE B, PETOSKEY, MI 49770-8774
(231) 347-1800
Mailing address
2325 SUMMIT PARK DR STE B, PETOSKEY, MI 49770-8774
(231) 347-1800
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501009683
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3501009683
STATE LICENSE
MI
Enumeration date
06/19/2019
Last updated
06/19/2019
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