David P Petersen is a Surgery in Grand Rapids, Michigan. David P Petersen practices all healthcare services and medical treatments related to Surgery. The NPI Number for David P Petersen is 1558353540. The last update date is 2008-04-24.
David P Petersen's current location address is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6169574263 and fax number 6169570444. The mailing address for David P Petersen is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | David P Petersen |
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Address | 1111 Leffingwell Ave Ne, Grand Rapids, Michigan |
Phone Number | 6169574263 |
Fax Number | 6169570444 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1558353540 |
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Provider Enumeration Date | 2005-08-17 |
Last Updated Date | 2008-04-24 |
Provider Mailing Address Detail
Address | 1111 Leffingwell Ave Ne |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495256406 |
Phone Number | 6169574263 |
Fax Number | 6169570444 |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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Taxonomy | 208600000X |
Licence No | 4301039798 |
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4096458 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David P Petersen by the Centers for Medicare & Medicaid Services?
The David P Petersen has been issued the NPI (National Provider Identifier) 1558353540 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where David P Petersen's facilities are geographically located?
The facilities of David P Petersen are physically situated at the following location: 1111 Leffingwell Ave Ne, Grand Rapids, MI, 495256406.
What is the David P Petersen's specialty and taxonomy code?
The David P Petersen's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558353540 to David P Petersen?
The David P Petersen received its 1558353540 assignment from the Centers for Medicare & Medicaid Services on 2005-08-17.
As of what date were the details pertaining to David P Petersen last refreshed?
The information related to the David P Petersen, including its address, specialty, and other relevant details, was last updated on 2008-04-24.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH