Michael J Petersen in Mchenry - Podiatrist
Michael J Petersen - NPI 1518974153
Michael J Petersen is a Podiatrist in Mchenry, Illinois. Michael J Petersen practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Michael J Petersen is 1518974153. The last update date is 2007-07-08.
Michael J Petersen's current location address is 3922 Mercy Dr, Mchenry, Illinois. You can contact this provider via phone number 8153444499. The mailing address for Michael J Petersen is 3922 Mercy Dr, Mchenry, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Petersen |
|---|---|
| Address | 3922 Mercy Dr, Mchenry, Illinois |
| Phone Number | 8153444499 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1518974153 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3922 Mercy Dr |
|---|---|
| City | Mchenry |
| State | Illinois (IL) |
| Post Code | 600503151 |
| Phone Number | 8153444499 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 016002938 1 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Michael J Petersen by the Centers for Medicare & Medicaid Services?
The Michael J Petersen has been issued the NPI (National Provider Identifier) 1518974153. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michael J Petersen's physical address?
The Michael J Petersen is physically located at 3922 Mercy Dr, in the city of Mchenry, IL, with the postal code 600503151.
What is the area of specialization for Michael J Petersen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael J Petersen is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.
When did Michael J Petersen receive its 1518974153 assignment?
The Michael J Petersen was assigned its 1518974153 on 2006-08-02, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Michael J Petersen most recently updated or revised?
The details related to Michael J Petersen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.