Individual
STEPHANIE MICHELE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
4370 W 109TH ST STE 350, OVERLAND PARK, KS 66211-1370
(846) 941-0800
Mailing address
4370 W 109TH ST STE 350, OVERLAND PARK, KS 66211-1370
(317) 834-9618
(846) 941-0800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD61057094
WA
208C00000X
Colon & Rectal Surgery Physician
01085973A
IN
208C00000X
Colon & Rectal Surgery Physician
Primary
04-46869
KS
208C00000X
Colon & Rectal Surgery Physician
2022041373
MO
Other
Enumeration date
04/14/2015
Last updated
11/14/2022
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