BRADY LEE PETERSON

GRAND RAPIDS, MI
NPI1619904554
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004582)
Enumeration Date2006-06-27
Last Update Date2021-02-25
Business Address
BRADY LEE PETERSON PAC
2900 BRADFORD ST NE
GRAND RAPIDS, MI 49525-6427
Phone number: 616-885-5000
Mailing Address
BRADY LEE PETERSON PAC
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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