Individual
PETER DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 EXCHANGE ST W, SUITE 307, SAINT PAUL, MN 55102-1223
(651) 842-5200
(651) 223-5903
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30908
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200012413
RAILROAD MEDICARE
MN
05
—
485500100
—
MN
Enumeration date
03/17/2006
Last updated
07/01/2015
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