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Contact Information

STEVE A PETERSEN, MD
5601 LOCH RAVEN BLVD
SMYTH BLDG, SUITE G-1
BALTIMORE, MD21239-2945
 Phone: 443-444-4740
 Fax: 443-444-4752
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STEVE A PETERSEN · (Male)

NPI # 1205874385
Status Active
Credentials MD
Entity Individual
Enumeration date 06/02/2006
Last updated 01/18/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0065131
  • MD Medicaid 012124000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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