Individual
DANIEL EDWIN PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.138327
OH
208000000X
Pediatrics Physician
A139575
CA
2080P0202X
Pediatric Cardiology Physician
Primary
71788
MN
Other
Enumeration date
03/28/2014
Last updated
06/30/2022
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