Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Destiny Peterson

Individual provider Specialist · NPI 1366831273

Destiny Peterson is a Specialist in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
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Practice location Address checks out

21415 Civic Center Dr Ste 209
Southfield, MI 48076-3943
Phone: (248) 703-2889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 7501000917 (MI)

Record details

NPI number1366831273
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 15, 2015
Last updated in NPPESJanuary 15, 2015

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