Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL WARREN PETERSON, D.O.
Active Sole ProprietorDR. MICHAEL WARREN PETERSON, D.O. is a Dermatology healthcare provider located in SPANISH FORK, Utah. NPI 1770634909 is currently active in the NPPES registry. Verify at CMS.
Dermatology · SPANISH FORK, UT
Registration Details
- NPI Number
- 1770634909
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2007 (19.394528359903 yrs)
- Last Updated
- Apr 13, 2018
- Licenses
-
7247463-1204 (UT)47784-021 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
114 EAST 800 NORTHSPANISH FORK, UT, 84660Browse UT providers · Browse ZIP 84660
- Phone
- 8017941490
- Fax
- 8017941495
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in SPANISH FORK, UT
| Name | Credential | NPI |
|---|---|---|
| DR. WARREN ALBERT PETERSON | D.O. | 1134198807 |
| MEREDITH A. GAUFIN | MD | 1487116109 |
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.