Organization
JASON N PETER DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON N PETER DO (DO)
(586) 939-3304
Entity
Organization
Contact information
Practice address
5456 15 MILE RD, STE 102, STERLING HEIGHTS, MI 48310-5110
(586) 939-3044
Mailing address
1059 FLOYD ST, BIRMINGHAM, MI 48009-3634
(586) 939-3304
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101014928
MI
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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