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Individual

DR. ALAN P PETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
16800 24 MILE RD, MACOMB, MI 48042-2990
(586) 992-9970
(586) 992-9972
Mailing address
16800 24 MILE RD, SUITE 4, MACOMB, MI 48042-2990
(586) 992-9970
(586) 992-9972

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101014745
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0855010815
BCBS PIN
MI
05
114933018
MI
Enumeration date
10/27/2005
Last updated
12/28/2008
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