Waldusky, Peter William

Waldusky, Peter William is an individual health care provider with primary practice located at 1200 Sixth Ave N , St Cloud MN 56303-2735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Waldusky, Peter William can be contacted via phone (320) 251-2700.

Contact Information

Primary practice address
1200 Sixth Ave N St Cloud MN 56303-2735
Phone: (320) 251-2700
Fax: (320) 240-2118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44863 Minnesota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 44863 Minnesota

Profile Details

NPI number 1194714097
LBN Legal business name Waldusky, Peter William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Oct 30th, 2015 - about 9 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 1194714097 NPPES
Other 1031038 PREFERRED ONE
MEDICAID 315339800 PREFERRED ONE
Other 0404593 PREFERRED ONE
Other 141884 PREFERRED ONE
Other HP35324 PREFERRED ONE
Other 1628854 PREFERRED ONE
Other 2113976 PREFERRED ONE
Other 315339800 PREFERRED ONE
Other 60G47WA PREFERRED ONE

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