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Search › Michigan › 207RC0000X

Kellsey Peterson, M.D

NPI 1487008983 · on the registry since 2016

Practice

Address
2799 W Grand Blvd
Detroit, MI 48202
Phone
(800) 653-6568
Fax
(313) 876-1305
Organisation at this address
Pcor Llc
Henry Ford Hospital
Henry Ford Hospital
Henry Ford Hospital
Henry Ford Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,594

Additional practice sites

  • 601 Elmwood Ave, Rochester, NY
  • 2215 Burdett Ave, Troy, NY
  • 315 S Manning Blvd, Albany, NY

Registry record

Primary taxonomy
207RC0000X
207RC0000X
Also registered as
208M00000X
207R00000X
Licence states on file
NY, MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-19

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