Ketti Sophia Petersen
Family Doctor Family Doctor - Hospice and Palliative Medicine
1500 E Medical Center Dr
Ann Arbor
, Michigan 48109-5000
Ketti Sophia Petersen
Family Doctor Family Doctor - Hospice and Palliative Medicine
1500 E Medical Center Dr
Ann Arbor
, Michigan 48109-5000
(734) 647-5299
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About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Ketti Sophia Petersen
- 3621 S State St
- Ann Arbor, MI
- Zip : 48108-1633
- Phone : (734) 647-5299
Second Address
- Ketti Sophia Petersen
- 1500 E Medical Center Dr
- Ann Arbor, MI
- Zip : 48109-5000
- Phone : (734) 936-4000
Reviews
FAQs
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What type of doctor is Ketti Sophia Petersen
In what state does Ketti Sophia Petersen practice in?
Where is Ketti Sophia Petersen ’s practice located?
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Is Ketti Sophia Petersen a sole practitioner?
Is Ketti Sophia Petersen accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 4301096617 | MI |
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 4301096617 | MI |
National Provider Identifier
| NPI | 1003128919 |
|---|---|
| Provider Name | Ketti Sophia Petersen |
| First Address | Ann Arbor, MI 48108-1633 |
| Second Address | Ann Arbor, MI 48109-5000 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2010 |
| Last Update Date | 11/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.