Jeffery Lee Peterson M.D.

NPI 1639229255 - Family Medicine - 207Q00000X

NPI Details
NPI 1639229255
Gender Male
Enumeration Date 01/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
FLANDREAU SD, 57028-1529, US
Phone (605) 997-2642
Fax (605) 997-9940
Business Location
SARTELL MN, 56377-2081, US
Phone (605) 997-2642
Fax (605) 997-9940
Taxonomy Code 207Q00000X
License State South Dakota
License Number 1067
Remove 1639229255 NPI Number

According to our database, Dr. Jeffery Lee Peterson M.D. NPI is 1639229255, taxonomy code is 207Q00000X and license number is 1067, license state is located at South Dakota. Jeffery Lee Peterson M.D. physically located at 701 W Broad Ave, Flandreau SD, 57028-1529. NPI Number Jeffery Lee Peterson M.D. has the Individual type.

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1639229255 NPI number is provided on an as is basis without warranty of any kind. 1639229255 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffery Lee Peterson M.D. are for informational purposes only.