Jeffery Lee Peterson in Sartell - Family Medicine

Jeffery Lee Peterson - NPI 1639229255

Jeffery Lee Peterson is a Family Medicine in Sartell, Minnesota. Jeffery Lee Peterson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeffery Lee Peterson is 1639229255. The last update date is 2007-07-08.

Jeffery Lee Peterson's current location address is 1027 Lawrence Cir, Sartell, Minnesota. You can contact this provider via phone number 6059972642 and fax number 6059979940. The mailing address for Jeffery Lee Peterson is 1027 Lawrence Cir, Sartell, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffery Lee Peterson
Address 1027 Lawrence Cir, Sartell, Minnesota
Phone Number 6059972642
Fax Number 6059979940
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1639229255
Provider Enumeration Date 2007-01-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1027 Lawrence Cir
City Sartell
State Minnesota (MN)
Post Code 563772081
Phone Number 6059972642
Fax Number 6059979940

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 1067
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5546010 SD --

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FAQs about Jeffery Lee Peterson

What is the Jeffery Lee Peterson's 1639229255?

The Jeffery Lee Peterson's NPI (National Provider Identifier) Number is 1639229255. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jeffery Lee Peterson is geographically located?

The Jeffery Lee Peterson is physically situated at the following location: 1027 Lawrence Cir, Sartell, MN, 563772081.

What is Jeffery Lee Peterson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jeffery Lee Peterson is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1639229255 to Jeffery Lee Peterson?

The Centers for Medicare & Medicaid Services assigned the 1639229255 to Jeffery Lee Peterson on 2007-01-12.

As of what date was the information pertaining to Jeffery Lee Peterson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jeffery Lee Peterson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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