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Carol E. Peterson, Md Plc
Hematology & Oncology Physician in Free Soil, Michigan
NPI 1053500413

Carol E. Peterson, Md Plc is a Hematology & Oncology Physician based in Free Soil, MI and is specialized in Hematology & Oncology. Carol E. Peterson, Md Plc practices in Free Soil, MI. The NPI Number for Carol E. Peterson, Md Plc is 1053500413 and holds a License No. 4301050870 (Michigan).

The current practice location address for Carol E. Peterson, Md Plc is 6050 N Us Highway 31, Free Soil, MI and can be reached out via phone at 231-757-1260 and via fax at 231-757-1261.

Location: 6050 N Us Highway 31, Free Soil, MI, 49411-9157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053500413
Provider Name
Carol E. Peterson, Md Plc
Credential
Provider Entity Type
Organization
Address
6050 N Us Highway 31, Free Soil, MI, 49411-9157
Phone Number
231-757-1260
Fax Number
231-757-1261
Provider Enumeration Date
10/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0531035 01 MI BLUE CROSS BLUS SHIELD
4831985 05 MI
institution
Provider Business Practice Location Address Details
Address
6050 N Us Highway 31
City
Free Soil
State
Michigan
Zip
49411-9157
Phone Number
231-757-1260
Fax Number
231-757-1261
person
Provider Business Mailing Address Details
Address
6050 N Us Highway 31
City
Free Soil
State
Michigan
Zip
49411-9157
Phone Number
231-757-1260
Fax Number
231-757-1261
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
4301050870 (Michigan)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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