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Thomas Peterson
NPI 1639985880 · on the registry since 2024
Practice
- Address
- 2151 Ridgecrest Rd Se Apt 8
Grand Rapids, MI 49546 - Phone
- (502) 439-7039
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YM0800X
- Licence states on file
- KY, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-03
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