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Individual

RODNEY HOLMES PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16752
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30298200
WISC MEDICAID
01
509S0PE
BLUECROSS BLUESHIELD
01
900732
MEDICA
01
969990831004
PREFERREDONE
01
HP14162
HEALTHPARTNERS
Enumeration date
08/15/2006
Last updated
07/11/2007
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