Mark G Peterson in Grand Forks - Family Medicine
Mark G Peterson - NPI 1134182355
Mark G Peterson is a Family Medicine in Grand Forks, North Dakota. Mark G Peterson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark G Peterson is 1134182355. The last update date is 2020-01-03.
Mark G Peterson's current location address is 2650 32nd Ave S Ste D, Grand Forks, North Dakota. You can contact this provider via phone number 7017322700 and fax number 7017322701. The mailing address for Mark G Peterson is 2650 32nd Ave S Ste D, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark G Peterson |
|---|---|
| Address | 2650 32nd Ave S Ste D, Grand Forks, North Dakota |
| Phone Number | 7017322700 |
| Fax Number | 7017322701 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134182355 |
|---|---|
| Provider Enumeration Date | 2006-04-10 |
| Last Updated Date | 2020-01-03 |
Provider Mailing Address Detail
| Address | 2650 32nd Ave S Ste D |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 582016541 |
| Phone Number | 7017322700 |
| Fax Number | 7017322701 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 7376 |
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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 |
|---|---|---|---|
| 18675 | ND | -- | |
| 453615100 | MN | -- | |
| 26183 | ND | BCBS OF ND | |
| 244P5PE | MN | BCBS OF MN |
Post Comment/ Review Below
What is the unique identifier code issued to Mark G Peterson by the Centers for Medicare & Medicaid Services?
The Mark G Peterson has been assigned the NPI (National Provider Identifier) 1134182355. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark G Peterson?
The Mark G Peterson is situated at 2650 32Nd Ave S Ste D, in the city of Grand Forks, state of ND, with the zip code 582016541.
What is the Mark G Peterson's specialty and taxonomy code?
The Mark G Peterson's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134182355 to Mark G Peterson?
The Centers for Medicare & Medicaid Services originally issued the 1134182355 to Mark G Peterson on 2006-04-10.
When was the information related to Mark G Peterson most recently updated or refreshed?
The details pertaining to the Mark G Peterson, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-01-03.