Individual
DR. MIKAEL BRIAN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
1225 W IRVINGTON RD, TUCSON, AZ 85714-1167
(520) 295-3608
Mailing address
1225 W IRVINGTON RD, TUCSON, AZ 85714-1167
(520) 295-3608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016140
AZ
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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