Individual
DANIEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
44050
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-01109
MEDICA
MN
05
—
141091
—
MN
01
—
2159678
ARAZ
MN
01
—
444T5PE
BLUE CROSS
MN
05
—
44T5PE
—
MN
05
—
577577
—
IA
05
—
969670900
—
MN
01
—
9898
AVERA
MN
01
—
HP42865
HEALTHPARTNERS
MN
01
—
MH9041041407
PREFERREDONE
MN
Enumeration date
12/23/2005
Last updated
03/13/2015
Update your record
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