Brett Ian Peterson, is a
Dietitian, Registered based in Ishpeming, Michigan. Brett Ian Peterson is licensed to practice in Michigan (license number 915544) and his current practice location is
901 Lakeshore Dr, Ishpeming, Michigan. He can be reached at his office (for appointments etc.) via phone at
(906) 485-2623.
NPI number for Brett Ian Peterson is 1134610371 and his current mailing address is 550 W Hewitt Ave, Marquette, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134610371.
Healthcare Provider's Profile
Full Name | Brett Ian Peterson |
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Gender | Male |
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Speciality | Dietitian, Registered |
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Location | 901 Lakeshore Dr, Ishpeming, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134610371
- Provider Enumeration Date: 05/23/2018
- Last Update Date: 05/23/2018
Medical Identifiers
Medical identifiers for Brett Ian Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134610371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 915544 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brett Ian Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brett Ian Peterson, 550 W Hewitt Ave, Marquette, MI 49855-3323 Ph: (906) 236-5325 | Brett Ian Peterson, 901 Lakeshore Dr, Ishpeming, MI 49849-1367 Ph: (906) 485-2623 |
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