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Individual
KARLYN M PETERSON
Active
Individual
KARLYN M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
10075
MN
367A00000X
Advanced Practice Midwife
Primary
148929
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-01404
MEDICA
MN
01
—
164365
UCARE
MN
01
—
46G41PE
BLUE CROSS BLUE SHIELD
MN
05
—
480607700
—
MN
Enumeration date
04/21/2006
Last updated
12/27/2016
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