ANISSA PETERSON

JACKSON, MI
NPI1093434870
Former NameANISSA MARTINEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601011567)
Enumeration Date2022-08-24
Last Update Date2025-10-06
Business Address
ANISSA PETERSON PA-C
1111 TENEYCK ST STE 100
JACKSON, MI 49201-2493
Phone number: 517-205-8940
Mailing Address
ANISSA PETERSON PA-C
1 FORD PL STE 3A
DETROIT, MI 48202-3450
Phone number: 313-874-4806
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