Organization
DAVID L PETERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L PETERS (OWNER)
(989) 224-6651
Entity
Organization
Contact information
Practice address
611 W STATE ST, SAINT JOHNS, MI 48879-1468
(989) 224-6651
(989) 224-7024
Mailing address
PO BOX 204, SAINT JOHNS, MI 48879-0204
(989) 224-6651
(989) 224-7024
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
002404
MI
Other
Enumeration date
04/24/2008
Last updated
04/26/2013
Update your record
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