MICHAEL PETERSON

GRAND ISLAND, NE
NPI1285906321
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.002411)
Enumeration Date2012-02-06
Last Update Date2014-07-11
Business Address
-- MICHAEL PETERSON M.S., ATC
620 N DIERS AVE SUITE 300
GRAND ISLAND, NE 68803-4984
Phone number: 308-382-0344
Mailing Address
-- MICHAEL PETERSON M.S., ATC
4021 ANNE MARIE AVE
GRAND ISLAND, NE 68803-9702
Phone number: 815-712-7636
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