Petersen, Michael Charles

Petersen, Michael Charles is an individual health care provider with primary practice located at 12356 Riata Trace Pkwy # 6006-B , Austin TX 78727-6417. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Petersen, Michael Charles can be contacted via phone (512) 506-7000.

Contact Information

Primary practice address
12356 Riata Trace Pkwy # 6006-B Austin TX 78727-6417
Phone: (512) 506-7000
Fax: (314) 251-4450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2006027561 Missouri
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X Q2049 Texas

Profile Details

NPI number 1881798379
LBN Legal business name Petersen, Michael Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Sep 4th, 2019 - about 5 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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