| Alan P Peter Do Pc | |
| 
					16800 24 Mile Rd Suite 4 Macomb Twp MI 48042  | |
| (586) 992-9970 | |
| (586) 992-9972 | 
| Full Name | Alan P Peter Do Pc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 16800 24 Mile Rd, Macomb Twp, Michigan | 
| Authorized Official Name and Position | Alan P Peter (OWNER PRESIDENT) | 
| Authorized Official Contact | 5869929970 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alan P Peter Do Pc 16800 24 Mile Rd Suite 4 Macomb Twp MI 48042 Ph: (586) 992-9970  | Alan P Peter Do Pc 16800 24 Mile Rd Suite 4 Macomb Twp MI 48042 Ph: (586) 992-9970  | 
| NPI Number | 1174625420 | 
|---|---|
| Provider Enumeration Date | 09/05/2006 | 
| Last Update Date | 12/28/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174625420 | NPI | - | NPPES | 
| 0E02052 | Other | MI | BCBS GROUP PIN | 
| 114933018 | Medicaid | MI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101014745 (Michigan) | Primary |