CORIE PETERSON

GROSSE POINTE, MI
NPI1104352582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704399838)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: OH  APRN.CNP.020746)
Enumeration Date2017-05-04
Last Update Date2023-10-30
Business Address
Ms. CORIE PETERSON NP
16815 E JEFFERSON AVE STE 120
GROSSE POINTE, MI 48230-1923
Phone number: 586-498-4400
Mailing Address
Ms. CORIE PETERSON NP
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1848