Dale R Petersen in Minneapolis - Internal Medicine

Dale R Petersen - NPI 1841274255

Dale R Petersen is a Internal Medicine in Minneapolis, Minnesota. Dale R Petersen practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Dale R Petersen is 1841274255. The last update date is 2011-10-20.

Dale R Petersen's current location address is 2001 Blaisdell Ave, Minneapolis, Minnesota. You can contact this provider via phone number 9529938000. The mailing address for Dale R Petersen is 2001 Blaisdell Ave, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale R Petersen
Address 2001 Blaisdell Ave, Minneapolis, Minnesota
Phone Number 9529938000
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1841274255
Provider Enumeration Date 2005-11-30
Last Updated Date 2011-10-20

Provider Mailing Address Detail

Address 2001 Blaisdell Ave
City Minneapolis
State Minnesota (MN)
Post Code 554042414
Phone Number 9529938000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 32723
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
728595700 MN --

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FAQs about Dale R Petersen

What is the unique provider identifier assigned to Dale R Petersen?

The Dale R Petersen has been issued the NPI (National Provider Identifier) 1841274255 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Dale R Petersen located?

The Dale R Petersen is located at 2001 Blaisdell Ave, Minneapolis, MN 554042414.

What is the area of specialization for Dale R Petersen, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Dale R Petersen is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1841274255 to Dale R Petersen?

The Dale R Petersen received its 1841274255 assignment from the Centers for Medicare & Medicaid Services on 2005-11-30.

As of what date were the details related to Dale R Petersen most recently updated or revised?

The information pertaining to Dale R Petersen, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-20.

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