Brett Ian Peterson

NPI #1134610371 in Ishpeming, Michigan

Provider Information

NPI Number: 1134610371
Entity Type: Individual
Name: Brett Ian Peterson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: May 23, 2018
Last Updated: May 23, 2018

Practice Location

Address: 901 LAKESHORE DR
City: Ishpeming
State: Michigan
ZIP Code: 49849-1367
Phone: (906) 485-2623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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