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CAROL E. PETERSON, MD PLC
NPI 1053500413
Internal Medicine - Hematology & Oncology in Free Soil, MI

Active since October 22, 2007
6050 N US HIGHWAY 31, FREE SOIL, MI 49411(231) 757-1260(231) 757-1261 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol E. Peterson, Md Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROL E. PETERSON, MD PLC (NPI 1053500413) is a healthcare organization registered as a hematology & oncology in Free Soil, Michigan and active in the NPI registry since October 2007. The organization lists Heather Ryan Boerema, Patient Accounts Manager, as its authorized official.

NPPES Registry Identity

NPI1053500413
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameCAROL E. PETERSON, MD PLC
Location Address6050 N US HIGHWAY 31Free Soil, MI 49411-9157
Mailing Address6050 N Us Highway 31Free Soil, MI 49411-9157 · (231) 757-1260 · Fax (231) 757-1261
Phone(231) 757-1260
Fax(231) 757-1261
Organization SubpartNo
Authorized OfficialHeather Ryan BoeremaPatient Accounts Manager · (231) 757-1260
Enumeration DateOctober 22, 2007
Last NPPES UpdateFebruary 14, 2008
✔ NPI 1053500413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MI · 4301050870
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
6050 N US HIGHWAY 31, Free Soil, MI 49411
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Other Identifiers 5

Medicaid4831985MI
Medicare PINDE2483MI
Other0531035MI · Blue Cross Blus Shield
Medicare UPINC39622MI
Medicare PIN0P26170MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUSAN K HENRY MD
Internal Medicine
6050 N US HIGHWAY 31
FREE SOIL, MI 49411
Mason County (231) 757-1260
MRS. PAULA KATHLEEN WIETRZYKOWSKI L.M.S.W.
Social Worker
6050 N US HIGHWAY 31
FREE SOIL, MI 49411
Mason County (231) 757-1260
WEST MI. REGIONAL CANCER AND BLOOD CENTER
Internal Medicine (Hematology & Oncology)
6050 N US HIGHWAY 31
FREE SOIL, MI 49411
Mason County (231) 757-1260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol E. Peterson, MD Plc's NPI number?

The NPI number for Carol E. Peterson, MD Plc is 1053500413. It was assigned to this organization in the NPPES registry on October 22, 2007.

Where is Carol E. Peterson, MD Plc located?

Carol E. Peterson, MD Plc is located at 6050 N Us Highway 31, Free Soil, MI 49411. The listed phone number is (231) 757-1260.

What is Carol E. Peterson, MD Plc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Carol E. Peterson, MD Plc was last updated on February 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.