J MICHAEL PETERSEN

WHEELING, WV
NPI1316461718
Entity TypeOrganization
Authorized ContactJ MICHAEL PETERSEN
President
304-233-2455
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: WV  13832)
Enumeration Date2017-07-28
Last Update Date2017-08-09
Business Address
J MICHAEL PETERSEN
2000 EOFF ST
WHEELING, WV 26003-3823
Phone number: 304-233-2455
Mailing Address
J MICHAEL PETERSEN
109 MOUNT WOOD RD
WHEELING, WV 26003-2632
Phone number: 304-233-2455
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