NPI 1003128919

Ketti Sophia Petersen, MD

Practitioner Hospice and Palliative Medicine (Family Medicine) Physician Ann Arbor, MI

Practice location

Address: 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
Mailing address: 3621 S State St, Ann Arbor, MI 48108-1633

Registered specialties (2)

Hospice and Palliative Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QH0002X Licence 4301096617 (MI)

Other Family Medicine providers in Michigan →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 4301096617 (MI)

Registry record

NPI: 1003128919
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2010
Record last updated: 11 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.