PETER C THEUT

GRAND RAPIDS, MI
NPI1720076219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: MI  4301063761)
Enumeration Date2005-10-10
Last Update Date2013-03-12
Business Address
-- PETER C THEUT MD
1111 LEFFINGWELL AVE NE STE 100
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
Mailing Address
-- PETER C THEUT MD
1111 LEFFINGWELL AVE NE STE 100
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101