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Contact Information

MICHAEL G PETERSON, MD
201 E. NICOLLET BLVD.
BURNSVILLE, MN55337
 Phone: 612-889-5480
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL G PETERSON · (Male)

NPI # 1609079094
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2007
Last updated 02/11/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301085530
  • MN License # 52328
  • MN Medicaid 1609079094
  • Other 207P00000X PROVIDER TAXONOMY
  • MN Other 52328 MN MEDICAL LICENSE
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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