Peter William Waldusky in St Cloud - Internal Medicine
Peter William Waldusky - NPI 1194714097
Peter William Waldusky is a Internal Medicine in St Cloud, Minnesota. Peter William Waldusky practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Peter William Waldusky is 1194714097. The last update date is 2015-10-30.
Peter William Waldusky's current location address is 1200 Sixth Ave N, St Cloud, Minnesota. You can contact this provider via phone number 3202512700 and fax number 3202402118. The mailing address for Peter William Waldusky is 1200 Sixth Ave N, St Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter William Waldusky |
|---|---|
| Address | 1200 Sixth Ave N, St Cloud, Minnesota |
| Phone Number | 3202512700 |
| Fax Number | 3202402118 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1194714097 |
|---|---|
| Provider Enumeration Date | 2005-10-14 |
| Last Updated Date | 2015-10-30 |
Provider Mailing Address Detail
| Address | 1200 Sixth Ave N |
|---|---|
| City | St Cloud |
| State | Minnesota (MN) |
| Post Code | 563032735 |
| Phone Number | 3202512700 |
| Fax Number | 3202402118 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 44863 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1031038 | PREFERRED ONE | ||
| 315339800 | MN | -- | |
| 404593 | MEDICA HEALTH PLANS | ||
| 141884 | U-CARE | ||
| HP35324 | HEALTH PARTNERS | ||
| 1628854 | ARAZ GROUP/AMERICA'S PPO | ||
| 2113976 | FIRST HEALTH PLAN | ||
| 315339800 | MEDICAL ASSISTANCE | ||
| 60G47WA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Peter William Waldusky?
The Peter William Waldusky has been issued the NPI (National Provider Identifier) 1194714097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Peter William Waldusky?
The Peter William Waldusky is situated at 1200 Sixth Ave N, in the city of St Cloud, state of MN, with the zip code 563032735.
What is the Peter William Waldusky's area of specialization and corresponding taxonomy classification?
The Peter William Waldusky's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1194714097 assigned to Peter William Waldusky?
The Peter William Waldusky was issued its 1194714097 on 2005-10-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Peter William Waldusky's information last updated?
The Peter William Waldusky's information was last updated on 2015-10-30.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY