MR. Jay William Peterson, PA-C

NPI #1558320853 in Brighton, Michigan

Provider Information

NPI Number: 1558320853
Entity Type: Individual
Name: MR. Jay William Peterson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 23, 2006
Last Updated: Jun 7, 2011

Practice Location

Address: 2305 GENOA BUSINESS PARK DR
Address 2: SUITE 170
City: Brighton
State: Michigan
ZIP Code: 48114-7367
Phone: (810) 299-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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