Peterson, Elisabeth M

Peterson, Elisabeth M is an individual health care provider with primary practice located at 2500 Como Avenue , St. Paul MN 55108-1460. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Peterson, Elisabeth M can be contacted via phone (651) 999-4600.

Contact Information

Primary practice address
2500 Como Avenue St. Paul MN 55108-1460
Phone: (651) 999-4600
Fax: (651) 632-8984
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D12105 Minnesota

Profile Details

NPI number 1508094244
LBN Legal business name Peterson, Elisabeth M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2009
Last updated Mar 30th, 2012 - about 12 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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