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Contact Information

DAVID C PETERSON, DPM
323 S MINNESOTA ST
CROOKSTON, MN56716-1601
 Phone: 218-281-9556
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DAVID C PETERSON · (Male)

NPI # 1780760868
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/31/2006
Last updated 01/08/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 301
  • Other 0921200001 DMERC
  • MN Other 597S9PE BCBS MN
  • ND Other 26801 BCBS
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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