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Contact Information

TIMOTHY M PETERSON, MD
520 SOUTH SIBLEY AVE
AFFILIATED COMMUNITY MEDICAL CENTERS
LITCHFIELD, MN55355
 Phone: 320-693-3233
 Fax: 319-384-6004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TIMOTHY M PETERSON · (Male)

NPI # 1306055355
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2007
Last updated 04/19/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IA License # R6912
Hospital affiliation(s)
  • MEEKER MEMORIAL HOSPITAL - (Critical Access)
    612 SOUTH SIBLEY AVENUE
    LITCHFIELD, MN 55355
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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