Stephen C Peterson
MERCY PHYSICIAN NETWORK


Address: 14 N 3rd Ave, Fruitport, MI 49415-8942
Phone: 2316722230

Stephen C Peterson (NPI# 1114331535, PAC ID# 7719297894) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1114331535
PAC ID by PECOS 7719297894
Professional Enrollment ID I20151102000231
Full Name Stephen C Peterson
Organization Legal Name MERCY PHYSICIAN NETWORK
Address 14 N 3rd Ave
Fruitport
MI 49415-8942
Phone Number 2316722230
Gender M
Medical School MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2014
Primary Specialty OSTEOPATHIC MANIPULATIVE MEDICINE
Group Practice PAC ID 8921996307
Number of Group Practice Members 118
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230066 MERCY HEALTH HACKLEY CAMPUS

Other Locations

Address Phone Organization
14 N 3rd Ave, Fruitport, MI 49415-8942 2316722230 MERCY PHYSICIAN NETWORK

Organization Information

Organization Legal Name MERCY PHYSICIAN NETWORK
Physicians 87

Physicians with the same organization

Name Specialty Organization Address
Ryan E Wissner Family Practice Mercy Physician Network 6207 Harvey St, Norton Shores, MI 49444-7861
Brett C Erickson Family Practice Mercy Physician Network 3587 Henry St, Suite 200, Norton Shores, MI 49441-6732
Kara L Keeling Nurse Practitioner Mercy Physician Network 601 W Savidge, Lakeshore Family Care, Spring Lake, MI 49456-1620
Justin M Davies Internal Medicine Mercy Physician Network 1877 N Getty St, Bear Creek Health Center, Muskegon, MI 49445-8563
Eliza R Sudbury Nurse Practitioner Mercy Physician Network 1915 Holton Rd, N Muskegon, MI 49445-1533
Gerard P Brennan Family Practice Mercy Physician Network 420 Whitehall Rd, Northside Family, N Muskegon, MI 49445-3299
Michael Banka Family Practice Mercy Physician Network 1223 Mercy Dr, Muskegon, MI 49444-1882
Kristen K Brown Family Practice Mercy Physician Network 3443 Farr Rd, Fruitport, MI 49415-8779
Kristi J Laninga Nurse Practitioner Mercy Physician Network 1150 E Sherman Boulevard, 1175 Mercy Geriatric Medical Assoc, Muskegon, MI 49444-1885
Gregory Edward Stempky Family Practice Mercy Physician Network 601 W Savidge St, Lakeshore Family Care, Spring Lake, MI 49456-1620

Office Location

Street Address 14 N 3RD AVE
City FRUITPORT
State MI
Zip 49415-8942

Physicians in the same location

Name Specialty Organization Address
Amy E Gorsky Family Practice Mercy Physician Network 14 N 3rd Ave, Fruitport, MI 49415-8942
Diane L Parrett Family Practice Mercy Physician Network 14 N 3rd Ave, Fruitport, MI 49415-8942

Physicians in the same zip code

Name Specialty Organization Address
Kristen K Brown Family Practice Mercy Physician Network 3443 Farr Rd, Fruitport, MI 49415-8779
Darrell Steven Roelandt Family Practice Mercy Physician Network 3443 Farr Rd, Fruitport, MI 49415-8779
Erica F Halsey Physician Assistant Mercy Physician Network 3443 Farr Rd, Fruitport, MI 49415-8779
Anthony V Izokaitis Family Practice Mercy Physician Network 3443 Farr Rd, Fruitport, MI 49415-8779
Chad Kenneth Uptigrove Family Practice Mercy Physician Network 3443 Farr Rd, Fruitport, MI 49415-8779
Steven P Szatkowski Chiropractic 3427 Farr Rd, Fruitport, MI 49415-8854
Deborah L Osborne Optometry 388 N 3rd Ave I, Fruitport, MI 49415-9794
Michael Tee Morea Chiropractic 388 N 3rd Ave L, Fruitport, MI 49415-9794

Competitor

Search similar physicians

City FRUITPORT
Zip Code 49415
Specialty OSTEOPATHIC MANIPULATIVE MEDICINE
City + Specialty FRUITPORT + OSTEOPATHIC MANIPULATIVE MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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