Individual
JASON PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2375 SUMMIT PARK DR, PETOSKEY, MI 49770-8685
(231) 348-3283
(231) 348-3331
Mailing address
2375 SUMMIT PARK DR, PETOSKEY, MI 49770-8685
(231) 348-3283
(231) 348-3331
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5601003959
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C97618
BCBSM
MI
Enumeration date
10/23/2006
Last updated
09/20/2022
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