Individual
DR. WENDY M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
43578
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016407
KAISER-COMMERCIAL NUMBER
—
05
—
88526313
—
CO
Enumeration date
03/07/2007
Last updated
10/16/2012
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