Individual
MR. PETER H. VAN WELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5500 AUTO CLUB DR STE 150, DEARBORN, MI 48126-2779
(313) 982-8266
Mailing address
9664 HEMINGWAY, REDFORD, MI 48239-2203
(313) 937-0856
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501006272
MI
Other
Enumeration date
05/17/2007
Last updated
03/09/2021
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