SearchMichigan363A00000X

Gina Peterson, PA

NPI 1497005474 · on the registry since 2012

Practice

Address
330 E Beltline Ave Ne
Suite 100
Grand Rapids, MI 49506
Phone
(616) 752-6235
Fax
(616) 328-8176
Organisation at this address
Brian Ulrich Llc
Bowan Dialysis Llc
Mrj Counseling Llc
Calmara Counseling
Gr Therapy Collective
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-10-30

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