RYAN A PETERS

GRAND RAPIDS, MI
NPI1205819059
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: MI  5101014120)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: MI  5101014120)
207L00000X Anesthesiology
(Licence: MI  5101014120)
Enumeration Date2005-11-25
Last Update Date2012-04-27
Business Address
-- RYAN A PETERS DO
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1680
Mailing Address
-- RYAN A PETERS DO
2537 MOMENTUM PL
CHICAGO, IL 60689-5325
Phone number: 616-975-1845