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

Individual provider Physician Assistant · NPI 1134435209

Gloria Lynn Peterson, PA is a Physician Assistant in Escanaba, Michigan. Qualified in 2010, 16 years ago. Practices with Foundations Health and Physical Medicine, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
16
Licensed in
MI, WI
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

610 S Lincoln Rd
Escanaba, MI 49829-1215
Phone: (906) 786-6488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005854 (MI)
Physician Assistant Taxonomy 363A00000X (WI)

Record details

NPI number1134435209
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 26, 2010
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Foundations Health And Physical Medicine — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Escanaba