Search › Michigan › 320900000X
Mark Peterson
NPI 1841474012 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3351 36th St
Grand Rapids, MI 49331 - Phone
- (616) 831-5659
Registry record
- Primary taxonomy
- 320900000X
320900000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-24
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