Individual
PETER CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
407 E 3RD ST, DULUTH, MN 55805-1950
(218) 786-4000
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
28705
AZ
207P00000X
Emergency Medicine Physician
Primary
41367
MN
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
41367
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
533978
—
AZ
01
—
930095151
RR MEDICARE
AZ
Enumeration date
02/07/2006
Last updated
02/08/2021
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