IndividualActive
Brett Peterson
NPI 1134610371 · Registered Dietitian · Ishpeming, MI
Provider details
- NPI number
- 1134610371
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 915544 (MI)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
901 Lakeshore Dr
Ishpeming, MI 49849-1367
Phone: (906) 485-2623
Approximate (ZIP-level) locationGet directions
Mailing address
550 W Hewitt Ave
Marquette, MI 49855-3323
Registry dates
- Enumerated
- 2018-05-23
- Last updated
- 2018-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.