Ali Elizabeth Peterson MD

NPI 1720259179 - Pediatrics - 208000000X

NPI Details
NPI 1720259179
Gender Female
Enumeration Date 03/13/2008
Last Updated 10/06/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
18432 KENRICK AVE
PARK NICOLLET - LAKEVILLE
LAKEVILLE MN, 55044-9288, US
Phone (952) 993-8858
Fax
Business Location
18432 KENRICK AVE
PARK NICOLLET - LAKEVILLE
LAKEVILLE MN, 55044-9288, US
Phone (952) 993-5911
Fax
Toxanomy
Taxonomy Code 208000000X
License State Minnesota
License Number 53963
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According to our database, Mrs. Ali Elizabeth Peterson MD NPI is 1720259179, taxonomy code is 208000000X and license number is 53963, license state is located at Minnesota. Ali Elizabeth Peterson MD physically located at 18432 Kenrick Ave, Lakeville MN, 55044-9288. NPI Number Ali Elizabeth Peterson MD has the Individual type.

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1720259179 NPI number is provided on an as is basis without warranty of any kind. 1720259179 is maintained by the National Plan & Provider Enumeration System. The contents of Ali Elizabeth Peterson MD are for informational purposes only.