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1821780750
PETER STEPHAN
LANSING, MI
NPI
1821780750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MI 5151016128)
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
PETER STEPHAN DO
1215 E MICHIGAN AVE
LANSING, MI 48912-1811
Phone number: 517-364-1000
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Mailing Address
PETER STEPHAN DO
2180 SAMPER LN APT 3
HOLT, MI 48842-7770
Phone number: 248-219-1426
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