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Contact Information

SHANNON M PETERS, MD
1309 W 17TH ST
SIOUX FALLS, SD57104-4663
 Phone: 605-328-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207LH0002X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SHANNON M PETERS · (Female)

NPI Number 1841442191
Status Active
Credentials MD
Entity Individual
Enumeration date 10/17/2008
Last updated 03/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 49222
  • MN License # 104478
  • MN License # 52327
  • ND License # 13968
  • ND License # RL10939
  • SD License # 12866
  • MN Medicaid ENROLLED
Hospital affiliation(s)
  • SANFORD USD MEDICAL CENTER - (Acute Care)
    1305 W 18TH ST POST OFFICE BOX 5039
    SIOUX FALLS, SD 57117
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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