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Contact Information

MARILYN J PEITSO, MD
1900 CENTRACARE CIRCLE
SAINT CLOUD, MN56303
 Phone: 320-654-3630
 Fax: 320-654-3657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARILYN J PEITSO · (Female)

NPI Number 1548251408
Status Active
Credentials MD
Entity Individual
Enumeration date 10/31/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 26871
  • Other 596183 ARAZ GROUP AMERICAS PPO
  • Other 51A38PE BLUE CROSS BLUE SHIELD
  • Other 2114138 FIRST HEALTH PLAN
  • Other HP25503 HEALTH PARTNERS
  • Other 1202204 MEDICA HEALTH PLANS
  • Other 037707400 MEDICAL ASSISTANCE MA
  • Other 254020 PREFERRED ONE
  • Other 110144 UCARE
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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