Individual
DR. MARK G PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 32ND AVE S STE D, GRAND FORKS, ND 58201-6541
(701) 732-2700
(701) 732-2701
Mailing address
PO BOX 5210, GRAND FORKS, ND 58206-5210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7376
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18675
—
ND
01
—
244P5PE
BCBS OF MN
MN
01
—
26183
BCBS OF ND
ND
05
—
453615100
—
MN
Enumeration date
04/10/2006
Last updated
01/03/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us