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Individual
DR. DAVID S PETERSEIM
Active
Individual
DR. DAVID S PETERSEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
20706
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
780001477
RAILRAOD MEDICARE
SC
01
—
P00754301
RAILROAD MC ID-RSFPN
SC
05
—
T47811
—
SC
Enumeration date
04/12/2006
Last updated
11/02/2009
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