David P Petersen in Grand Rapids - Surgery Of The Hand
David P Petersen - NPI 1558353540
David P Petersen is a Surgery Of The Hand in Grand Rapids, Michigan. David P Petersen practices all healthcare services and medical treatments related to Surgery Of The Hand. 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 2005-08-17 |
| Last Updated Date | 2008-04-24 |
Provider Mailing Address Detail
| Address | 1111 Leffingwell Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495256406 |
| Phone Number | 6169574263 |
| Fax Number | 6169570444 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery Of The Hand |
|---|---|
| Taxonomy | 2086S0105X |
| Licence No | 4301039798 |
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Definition: A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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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 Of The Hand, and the corresponding taxonomy code is 2086S0105X.
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