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Individual
PETER WILLIAM WALDUSKY
Active
Individual
PETER WILLIAM WALDUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44863
MN
208M00000X
Hospitalist Physician
Primary
44863
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0404593
MEDICA HEALTH PLANS
—
01
—
1031038
PREFERRED ONE
—
01
—
141884
U-CARE
—
01
—
1628854
ARAZ GROUP/AMERICA'S PPO
—
01
—
2113976
FIRST HEALTH PLAN
—
01
—
315339800
MEDICAL ASSISTANCE
—
05
—
315339800
—
MN
01
—
60G47WA
BLUE CROSS BLUE SHIELD
—
01
—
HP35324
HEALTH PARTNERS
—
Enumeration date
10/14/2005
Last updated
10/30/2015
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