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Marquita Petersen
NPI 1306631932 · on the registry since 2025
Practice
- Address
- 4234 Cascade Rd Se
Grand Rapids, MI 49546 - Phone
- (877) 654-4144
- Clinicians at this address
- 461
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-14
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