Peterson, Daniel B

Peterson, Daniel B is an individual health care provider with primary practice located at 5301 Vernon Ave S , Edina MN 55436-2303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peterson, Daniel B can be contacted via phone (952) 925-2200.

Contact Information

Primary practice address
5301 Vernon Ave S Edina MN 55436-2303
Phone: (952) 925-2200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36834 Minnesota

Profile Details

NPI number 1285626812
LBN Legal business name Peterson, Daniel B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Nov 10th, 2020 - about 4 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 1285626812 NPPES
Minnesota MEDICAID 864919700

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