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Individual
HOLLY CHRISTINE PETERSON
Active
Individual
HOLLY CHRISTINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, SFHM
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44593
MN
208M00000X
Hospitalist Physician
Primary
44593
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0404508
MEDICA HEALTH PLANS
—
01
—
1030668
PREFERRED ONE
—
01
—
110008471
MEDICARE
—
01
—
142118
U-CARE
—
01
—
2116659
FIRST HEALTH PLAN
—
01
—
314780100
MEDICAL ASSISTANCE (MA)
—
05
—
314780100
—
MN
01
—
59G88PE
BLUE CROSS BLUE SHIELD
—
01
—
951364
ARAZ GROUP/AMERICA'S PPO
—
01
—
HP35318
HEALTH PARTNERS
—
Enumeration date
10/12/2005
Last updated
10/30/2015
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