Individual provider · Type 1 NPI
Michael R. Petersen, MD
Retina Specialist (Ophthalmology) Physician · Ypsilanti, MI
NPI number
1629005160
Active
Practice location
2000 N Huron River Dr Ste 100
Ypsilanti, MI 48197
Fax (734) 572-9760
Mailing address
39650 Orchard Hill Pl Ste 200
Novi, MI 48375-5391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | 35-06-3107 (OH) |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | 4301406847 (MI) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Other retina specialist (ophthalmology) physician providers in Ypsilanti
About NPI 1629005160
Michael R. Petersen, MD's National Provider Identifier is 1629005160, issued on Jun 28, 2006. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Ypsilanti, MI. The record was last updated on Aug 4, 2020.