Petersen, Dustin J

Petersen, Dustin J is an individual health care provider with primary practice located at 11141 Parkview Plaza Dr Ste 305 , Fort Wayne IN 46845-1715. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Petersen, Dustin J can be contacted via phone (260) 266-8900.

Contact Information

Primary practice address
11141 Parkview Plaza Dr Ste 305 Fort Wayne IN 46845-1715
Phone: (260) 266-8900
Fax: (260) 266-8935
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 26510 West Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 01073898A Indiana
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 26510 West Virginia
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 26510 West Virginia
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 01073898A Indiana
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 01073898A Indiana

Profile Details

NPI number 1265661383
LBN Legal business name Petersen, Dustin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2009
Last updated Oct 10th, 2022 - about 3 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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