Brenden Peterson

NPI 1114319860 · on the registry since 2015 · sole proprietor

Practice

Address: 1000 E Tinkham Ave
Ludington, MI 49431
Phone: (231) 845-6291
Organisation at this address: Ludington Opco, Llc
Tendercare Select Properties Inc.
Fmg East Tinkham Avenue Michigan Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan