Male or Other

Dr. David M. Peters D.O.

General Practice Physician in Lansing, MI(View on Map)

Full Name

Dr. David M Peters D.O.

NPI Number

1104963156

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/31/2007

Specialties

(Taxonomies)

Code

208D00000X
207Q00000X

Primary Taxonomy

Yes
No

Licenses

State

Michigan

License Number

DP008207

Contact
Information

Purpose

Mailing
Location

Address

6910 S CEDAR ST
6910 S CEDAR ST

City

Lansing
Lansing

State

MI
MI

Postal Code

48911-6912
48911-6912

Country

US
US

Telephone Number

(517) 694-4134
(517) 694-4134

Identifiers

Identifier

1001919
DP008207
700C361780

Identifier State

MI
MI
MI

Identifier Issuer

MCLAREN
LICENSE NUMBER
BCBS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/25/2014

Provider Address

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