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Contact Information

PETER E DYRUD
6500 EXCELSIOR BLVD
SAINT LOUIS PARK, MN55426-4702
 Phone: 952-993-3246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PETER E DYRUD · (Male)

NPI # 1831174382
Status Active
Credentials
Entity Individual
Enumeration date 12/07/2005
Last updated 07/03/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 28696
Hospital affiliation(s)
  • PARK NICOLLET METHODIST HOSPITAL - (Acute Care)
    6500 EXCELSIOR BLVD
    SAINT LOUIS PARK, MN 55426
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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