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Contact Information

PETER D VAN PATTEN
1101 9TH ST N
VIRGINIA, MN55792-2329
 Phone: 218-741-0150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PETER D VAN PATTEN · (Male)

NPI # 1720006885
Status Active
Credentials
Entity Individual
Enumeration date 07/17/2006
Last updated 05/10/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 38758
  • MN Medicaid 150257300
  • MN Medicaid 396319500
Hospital affiliation(s)
  • VIRGINIA REGIONAL MEDICAL CENTER - (Acute Care)
    901 9TH STREET NORTH
    VIRGINIA, MN 55792
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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