PAMELA TERESA PETERSON

JACKSON, MI
NPI1255371530
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704194081)
Enumeration Date2006-06-07
Last Update Date2007-11-27
Business Address
PAMELA TERESA PETERSON NP
300 W WASHINGTON AVE SUITE 300
JACKSON, MI 49201-2180
Phone number: 517-841-1305
Mailing Address
PAMELA TERESA PETERSON NP
DEPARTMENT 272801 PO BOX 67000
DETROIT, MI 48267-2728
Phone number: 517-841-6913