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Individual

DR. CHRISTOPHER CARL PETERS

Active
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Individual

DR. CHRISTOPHER CARL PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35756
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0454504
—
IA
01
—
37091
BCBS
IA
01
—
77 0641286 02
JOHN DEERE
IA
01
—
P00199749
RAILROAD MEDICARE
IA
Enumeration date
01/13/2006
Last updated
03/02/2015
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