Kurt R Peterson MD

NPI 1073565412 - Family Medicine - 207Q00000X

NPI Details
NPI 1073565412
Gender Male
Enumeration Date 05/16/2006
Last Updated 06/16/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
11725 STINSON AVE
CHISAGO CITY MN, 55013-9542, US
Phone (651) 257-8499
Fax
Business Location
5200 FAIRVIEW BLVD
WYOMING MN, 55092-8013, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 29636
Remove 1073565412 NPI Number
 

According to our database, Kurt R Peterson MD NPI is 1073565412, taxonomy code is 207Q00000X and license number is 29636, license state is located at Minnesota. Kurt R Peterson MD physically located at 11725 Stinson Ave, Chisago City MN, 55013-9542. NPI Number Kurt R Peterson MD has the Individual type.

Sponsored links

1073565412 NPI number is provided on an as is basis without warranty of any kind. 1073565412 is maintained by the National Plan & Provider Enumeration System. The contents of Kurt R Peterson MD are for informational purposes only.