Search › Michigan › 363A00000X
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 CollectiveInferred 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