Bryan Tutt Petersen in Glencoe - Family Medicine
Bryan Tutt Petersen - NPI 1356339436
Bryan Tutt Petersen is a Family Medicine in Glencoe, Minnesota. Bryan Tutt Petersen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bryan Tutt Petersen is 1356339436. The last update date is 2020-11-24.
Bryan Tutt Petersen's current location address is 1805 Hennepin Ave N, Glencoe, Minnesota. You can contact this provider via phone number 3208643121 and fax number 3208647887. The mailing address for Bryan Tutt Petersen is 1805 Hennepin Ave N, Glencoe, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Tutt Petersen |
|---|---|
| Address | 1805 Hennepin Ave N, Glencoe, Minnesota |
| Phone Number | 3208643121 |
| Fax Number | 3208647887 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356339436 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2020-11-24 |
Provider Mailing Address Detail
| Address | 1805 Hennepin Ave N |
|---|---|
| City | Glencoe |
| State | Minnesota (MN) |
| Post Code | 553361416 |
| Phone Number | 3208643121 |
| Fax Number | 3208647887 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 39514 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 658217600 | MN | -- |
Post Comment/ Review Below
Could you please share the complete physical location address where Bryan Tutt Petersen's facilities are situated?
The facilities of Bryan Tutt Petersen are physically located at the following address: 1805 Hennepin Ave N, Glencoe, MN, 553361416.
What is Bryan Tutt Petersen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bryan Tutt Petersen is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date was the 1356339436 assigned to Bryan Tutt Petersen?
The Bryan Tutt Petersen was issued its 1356339436 on 2005-10-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Bryan Tutt Petersen receive the assignment of its 1356339436 from the Centers for Medicare & Medicaid Services?
The Bryan Tutt Petersen was issued its 1356339436 by the Centers for Medicare & Medicaid Services on 2005-10-12.
As of what date was the information pertaining to Bryan Tutt Petersen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bryan Tutt Petersen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-11-24.