DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL R PETERSEN, MD

Active

DR. MICHAEL R PETERSEN, MD is a Sports Medicine (Emergency) healthcare provider located in YPSILANTI, Michigan. NPI 1629005160 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Emergency) · YPSILANTI, MI

Registration Details

NPI Number
1629005160
Provider Type
Individual
Gender
Male
NPI Issued
Jun 28, 2006 (20.169199038235 yrs)
Last Updated
Aug 4, 2020
Licenses
35-06-3107 (OH)
4301406847 (MI)

Practice Information

Address
2000 N HURON RIVER DR STE 100
YPSILANTI, MI, 48197
Browse MI providers · Browse ZIP 48197
Phone
7345721200
Fax
7345729760
Primary Specialty
Sports Medicine (Emergency)
207WX0107X
Additional Specialty
Sports Medicine (Emergency)

Other Sports Medicine (Emergency) Providers in YPSILANTI, MI

Name Credential NPI
DR. SUNITA YEDAVALLY DO 1194754036
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.