JAMIE DUANE PETERSON

CADILLAC, MI
NPI1942393772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006140)
Enumeration Date2006-10-02
Last Update Date2020-12-28
Business Address
Mr. JAMIE DUANE PETERSON PA-C
927 S CARMEL ST
CADILLAC, MI 49601-2547
Phone number: 231-876-3876
Mailing Address
Mr. JAMIE DUANE PETERSON PA-C
3799 MOMENTUM PL
CHICAGO, IL 60689-5337
Phone number: 231-877-3876