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Contact Information

PETER J HALVORSON, MD
6341 UNIVERSITY AVE NE
FRIDLEY, MN55432-4946
 Phone: 763-572-5710
 Fax: 763-586-5888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PETER J HALVORSON · (Male)

NPI Number 1831152008
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2006
Last updated 04/10/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 47931
  • MN Medicaid 125173200
  • MN Other 7533292 AETNA
  • MN Other 2365755 AMERICA'S PPO
  • MN Other 488K8HA BCBS OF MN
  • MN Other HP53178 HEALTHPARTNERS
  • MN Other 1701444 MEDICA
  • MN Other 1044101 PREFERRED ONE
  • MN Other 132905 UCARE MN
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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