JORDAN JAMES PETERSEN

TAYLOR, MI
NPI1952979163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MI  5151015319)
Enumeration Date2021-06-14
Last Update Date2021-06-14
Business Address
Dr. JORDAN JAMES PETERSEN DO
10000 TELEGRAPH RD
TAYLOR, MI 48180-3330
Phone number: 313-295-5000
Mailing Address
Dr. JORDAN JAMES PETERSEN DO
175 E 22ND ST
IDAHO FALLS, ID 83404-6905
Phone number: 208-521-4408
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