Individual
PETER GERRITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 W 13 MILE RD, STE. 707, ROYAL OAK, MI 48073-6710
(248) 551-0487
Mailing address
130 TOWN CENTER DR STE 203, BEAUMONT MEDICAL STAFF AFFAIRS, TROY, MI 48084-1744
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
4301062337
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2958733
—
MI
01
—
350F361320
BCBSM
MI
Enumeration date
03/24/2006
Last updated
10/22/2020
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