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Marc G Petersen, LMP
Specialist in Federal Way, Washington
NPI 1700082831

Marc G Petersen is a Specialist based in Federal Way, WA. Marc G Petersen practices in Federal Way, WA and has the professional credentials of LMP. The NPI Number for Marc G Petersen is 1700082831 and holds a License No. MA00023248 (Washington).

The current practice location address for Marc G Petersen is 900 S 336Th St, Federal Way, WA and can be reached out via phone at 253-942-3303 and via fax at 253-815-8805.

Location: 900 S 336Th St, Federal Way, WA, 98003-6311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700082831
Provider Name
Marc G Petersen
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
900 S 336Th St, Federal Way, WA, 98003-6311
Phone Number
253-942-3303
Fax Number
253-815-8805
Provider Enumeration Date
06/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
900 S 336Th St
City
Federal Way
State
Washington
Zip
98003-6311
Phone Number
253-942-3303
Fax Number
253-815-8805
person
Provider Business Mailing Address Details
Address
900 S 336Th St
City
Federal Way
State
Washington
Zip
98003-6311
Phone Number
253-942-3303
Fax Number
253-815-8805
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00023248 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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