Mayer, Peter J

Mayer, Peter J is an individual health care provider with primary practice located at 3617 W Arrowhead Rd , Duluth MN 55811-4046. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Mayer, Peter J can be contacted via phone (218) 722-8377.

Contact Information

Primary practice address
3617 W Arrowhead Rd Duluth MN 55811-4046
Phone: (218) 722-8377
Fax: (218) 722-3117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D12064 Minnesota
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5846 Wisconsin

Profile Details

NPI number 1104976570
LBN Legal business name Mayer, Peter J
Credentials DDS,MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Mar 5th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104976570 NPPES
Wisconsin Other 33793800 WISCONSIN MEDICAID
Wisconsin Other 336G1MA WISCONSIN MEDICAID

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