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Individual
DR. DANIEL ALBIN PETERSON
Active
Individual
DR. DANIEL ALBIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D72729
MD
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
200301074
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047493200
—
MD
Enumeration date
05/18/2007
Last updated
12/27/2012
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