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Dr. Michael R Petersen, MD
Retina Specialist (Ophthalmology) Physician in Ypsilanti, Michigan
NPI 1629005160

Michael R Petersen is a Retina Specialist (Ophthalmology) Physician based in Novi, MI and is specialized in Retina Specialist. Michael R Petersen practices in Ypsilanti, MI and has the professional credentials of MD. The NPI Number for Michael R Petersen is 1629005160 and holds a License No. 35-06-3107 (Michigan).

The current practice location address for Michael R Petersen is 2000 N Huron River Dr Ste 100, Ypsilanti, MI and can be reached out via phone at 734-572-1200 and via fax at 734-572-9760. You can also correspond with Michael R Petersen through the mailing address at 39650 ORCHARD HILL PL STE 200, NOVI, MI - 48375-5391 (mailing address contact number: 248-319-0161).

Location: 2000 N Huron River Dr Ste 100, Ypsilanti, MI, 48375-5391
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629005160
Provider Name
Michael R Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2000 N Huron River Dr Ste 100, Ypsilanti, MI, 48375-5391
Phone Number
734-572-1200
Fax Number
734-572-9760
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180026057 01 OH RAIL ROAD MEDICARE
100374400 05 IN
000000021228 01 BCBS
0886528 05 OH
64930167 05 KY
institution
Provider Business Practice Location Address Details
Address
2000 N Huron River Dr Ste 100
City
Ypsilanti
State
Michigan
Zip
48197
Phone Number
734-572-1200
Fax Number
734-572-9760
person
Provider Business Mailing Address Details
Address
2000 N Huron River Dr Ste 100
City
Ypsilanti
State
Michigan
Zip
48197
Phone Number
734-572-1200
Fax Number
734-572-9760
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
4301406847 (Michigan)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Retina Specialist
Taxonomy
207WX0107X
License No.
35-06-3107 (Ohio)
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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