Robert Peterson in Spooner - Physician Assistant
Robert Peterson - NPI 1033198957
Robert Peterson is a Physician Assistant in Spooner, Wisconsin. Robert Peterson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert Peterson is 1033198957. The last update date is 2008-09-24.
Robert Peterson's current location address is 707 Ash Street, Spooner, Wisconsin. You can contact this provider via phone number 7156352151. The mailing address for Robert Peterson is 707 Ash Street, Spooner, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Peterson |
|---|---|
| Address | 707 Ash Street, Spooner, Wisconsin |
| Phone Number | 7156352151 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1033198957 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2008-09-24 |
Provider Mailing Address Detail
| Address | 707 Ash Street |
|---|---|
| City | Spooner |
| State | Wisconsin (WI) |
| Post Code | 54801 |
| Phone Number | 7156352151 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9873 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209L9PE | MN | BCBS | |
| 410849339 56001 | CHAMPUS | ||
| NA2951011331 | MN | PREFERRED ONE | |
| 110533700 | MN | -- | |
| 115317 | MN | UCARE | |
| 117135 | MN | MEDICA | |
| HP20659 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Robert Peterson by the Centers for Medicare & Medicaid Services?
The Robert Peterson has been issued the NPI (National Provider Identifier) 1033198957 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Robert Peterson is geographically located?
The Robert Peterson is physically situated at the following location: 707 Ash Street, Spooner, WI, 54801.
What is Robert Peterson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert Peterson is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When was the Robert Peterson's 1033198957 issued?
The Robert Peterson's 1033198957 was issued on 2006-01-10.
As of what date were the details pertaining to Robert Peterson last refreshed?
The information related to the Robert Peterson, including its address, specialty, and other relevant details, was last updated on 2008-09-24.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY