Individual provider · Type 1 NPI

Kellsey Peterson, MD

Cardiovascular Disease Physician · Detroit, MI

NPI number 1487008983 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Call (800) 653-6568 Map

Fax (313) 876-1305

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 601 Elmwood Ave, P.o. Box Med, Rochester, NY 14642-0001 · (585) 275-2874
  • 2215 Burdett Ave, Troy, NY 12180-2466 · (518) 271-3300
  • 315 S Manning Blvd, Albany, NY 12208-1707 · (518) 525-1550

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000X303757 (NY)
Internal Medicine Physician 207R00000X4301506898 (MI)
Cardiovascular Disease Physician Primary 207RC0000X4301506898 (MI)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2,565 other providers at this address

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About NPI 1487008983

Kellsey Peterson, MD's National Provider Identifier is 1487008983, issued on Apr 20, 2016. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Detroit, MI. The record was last updated on Sep 19, 2023.