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Search › Michigan › 163W00000X

Idella Peterson, RN

NPI 1568713543 · on the registry since 2012 · sole proprietor

Practice

Address
2925 Russell St
Detroit, MI 48207
Phone
(313) 396-5300
Fax
(313) 396-5353
Organisation at this address
Team Wellness Center
Team Wellness Center
Team Wellness Center
Dundee Family Pharmacy Llc
Saturn Science Integrated Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
283

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-10-01

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