Search › Michigan › 208100000X
Jordan Petersen, DO
NPI 1952979163 · on the registry since 2021
Practice
- Address
- 17000 Hubbard Dr Ste 800
Dearborn, MI 48126 - Phone
- (313) 240-7595
- Organisation at this address
- Guat Sy Jr Md Pc
Skyl Physical Medicine & Rheumatology
Beaumont Medical Group- Specialty Services
Great Lakes Cardiovascular & Thoracic SurgeonsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Additional practice sites
- 325 E Eisenhower Pkwy, Ann Arbor, MI
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 2081P2900X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-01
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