Robert J Peters in Grand Rapids - Pediatrics

Robert J Peters - NPI 1972553899

Robert J Peters is a Pediatrics in Grand Rapids, Michigan. Robert J Peters practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Robert J Peters is 1972553899. The last update date is 2013-03-01.

Robert J Peters's current location address is 5050 Cascade Rd Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169570866 and fax number 6169574102. The mailing address for Robert J Peters is 5050 Cascade Rd Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert J Peters
Address 5050 Cascade Rd Se, Grand Rapids, Michigan
Phone Number 6169570866
Fax Number 6169574102
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1972553899
Provider Enumeration Date 2006-05-11
Last Updated Date 2013-03-01

Provider Mailing Address Detail

Address 5050 Cascade Rd Se
City Grand Rapids
State Michigan (MI)
Post Code 495463725
Phone Number 6169570866
Fax Number 6169574102

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 152Wp0200X
Licence No 3979
Definition:
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4362760 MI --
13857 MI PRIORITY HEALTH HMO
900D166360 MI BLUE CROSS BLUE SHIELD
4362760 MI CHILDREN SPECIAL HEALTH
13857 MI PRIORITY HEALTH MEDICAID
900D166360 MI FEP BLUE CROSS

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FAQs about Robert J Peters

What is the unique 10-digit identification code assigned to Robert J Peters by the Centers for Medicare & Medicaid Services?

The Robert J Peters has been issued the NPI (National Provider Identifier) 1972553899, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Robert J Peters's facilities are geographically located?

The facilities of Robert J Peters are physically situated at the following location: 5050 Cascade Rd Se, Grand Rapids, MI, 495463725.

What is Robert J Peters's specialized field of practice, and what is the corresponding taxonomy classification code?

The Robert J Peters's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 152Wp0200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1972553899 to Robert J Peters?

The Centers for Medicare & Medicaid Services originally issued the 1972553899 to Robert J Peters on 2006-05-11.

When was the Robert J Peters's information last updated?

The Robert J Peters's information was last updated on 2013-03-01.

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