Search › Michigan › 122300000X
Mark Peterson, DDS
NPI 1528013661 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2440 Gaynor Nw
Grand Rapids, MI 49544 - Phone
- (616) 784-8444
- Fax
- (616) 784-6912
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-14
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