Sershon, Peter Donald

Sershon, Peter Donald is an individual health care provider with primary practice located at 360 Sherman St Suite 450, Saint Paul MN 55102-2564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Sershon, Peter Donald can be contacted via phone (651) 999-6800.

Contact Information

Primary practice address
360 Sherman St Suite 450 Saint Paul MN 55102-2564
Phone: (651) 999-6800
Fax: (651) 999-6810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 33642 Minnesota

Profile Details

NPI number 1104813138
LBN Legal business name Sershon, Peter Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Sep 10th, 2013 - about 11 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 1104813138 NPPES
Minnesota MEDICAID 565205700

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