Llyod Mark Peterson in Grand Rapids - Clinical
Llyod Mark Peterson - NPI 1033395157
Llyod Mark Peterson is a Clinical in Grand Rapids, Michigan. Llyod Mark Peterson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Llyod Mark Peterson is 1033395157. The last update date is 2008-01-18.
Llyod Mark Peterson's current location address is 901 Eastern Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6162247617 and fax number 6162247593. The mailing address for Llyod Mark Peterson is 901 Eastern Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Llyod Mark Peterson |
|---|---|
| Address | 901 Eastern Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6162247617 |
| Fax Number | 6162247593 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1033395157 |
|---|---|
| Provider Enumeration Date | 2008-01-18 |
| Last Updated Date | 2008-01-18 |
Provider Mailing Address Detail
| Address | 901 Eastern Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495031201 |
| Phone Number | 6162247617 |
| Fax Number | 6162247593 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801017266 |
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What is the unique 10-digit identification code issued to Llyod Mark Peterson by the Centers for Medicare & Medicaid Services?
The Llyod Mark Peterson has been assigned the NPI (National Provider Identifier) 1033395157 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Llyod Mark Peterson?
The Llyod Mark Peterson is physically situated at 901 Eastern Ave Ne, in the city of Grand Rapids, state of MI, with the postal code 495031201.
What is Llyod Mark Peterson's area of expertise and its corresponding taxonomy classification?
The Llyod Mark Peterson's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When was the Llyod Mark Peterson's 1033395157 issued?
The Llyod Mark Peterson's 1033395157 was issued on 2008-01-18.
When was the Llyod Mark Peterson's information last updated?
The Llyod Mark Peterson's information was last updated on 2008-01-18.