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1114331535
STEPHEN CHARLES PETERSON
BIG RAPIDS, MI
NPI
1114331535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101021169)
Enumeration Date
2014-06-13
Last Update Date
2024-01-31
Business Address
STEPHEN CHARLES PETERSON DO
14755 215TH AVE
BIG RAPIDS, MI 49307-9224
Phone number: 231-796-3200
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Mailing Address
STEPHEN CHARLES PETERSON DO
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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