Peterson, Scott M

Peterson, Scott M is an individual health care provider with primary practice located at 3300 W Centre Ave Bronson Ob Gyn Associates, Portage MI 49024-4666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Peterson, Scott M can be contacted via phone (269) 327-2211.

Contact Information

Primary practice address
3300 W Centre Ave Bronson Ob Gyn Associates Portage MI 49024-4666
Phone: (269) 327-2211
Fax: (269) 327-0273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301068138 Michigan

Profile Details

NPI number 1649250242
LBN Legal business name Peterson, Scott M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649250242 NPPES
Michigan MEDICAID 4770173
Michigan Other 1235131137
Michigan MEDICAID 4681190
Michigan MEDICAID 1649250242

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