Individual
CARY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 PEACH ST STE 200, SUITE 200, ERIE, PA 16501-2134
(814) 877-8140
Mailing address
1700 PEACH ST STE 200, SUITE 200, ERIE, PA 16501-2134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS014695
PA
Other
Enumeration date
06/22/2009
Last updated
04/06/2021
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