Individual
MR. DIRK PEETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1201 E MICHIGAN AVE STE 240, JACKSON, MI 49201-1855
(517) 205-1591
Mailing address
1201 E MICHIGAN AVE, JACKSON, MI 49201-1852
(517) 499-6649
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008712
MI
Other
Enumeration date
08/17/2018
Last updated
03/15/2021
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