Individual
DR. ROBERT J PETERS
Active
Individual
DR. ROBERT J PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
003979
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13857
PRIORITY HEALTH HMO
MI
01
—
4362760
CHILDREN SPECIAL HEALTH
MI
05
—
4362760
—
MI
01
—
900D166360
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/11/2006
Last updated
03/01/2013
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