# RODNEY HOLMES PETERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1073526414
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 16752 | MN | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 07/11/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 30298200 | WISC MEDICAID | — |
| 01 | — | 509S0PE | BLUECROSS BLUESHIELD | — |
| 01 | — | 900732 | MEDICA | — |
| 01 | — | 969990831004 | PREFERREDONE | — |
| 01 | — | HP14162 | HEALTHPARTNERS | — |