Individual
DR. JANE M PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1417 S. CLIFF AVE., STE 401, SIOUX FALLS, SD 57105-1064
(605) 322-8920
(605) 322-8919
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301068001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-00188
PHP
MI
01
—
07-70188
PHP FAMILYCARE
MI
01
—
1603306242
BCBS/BCN
MI
05
—
4679610
—
MI
05
—
6201560
—
SD
01
—
7223
DAKOTACARE
SD
Enumeration date
06/06/2006
Last updated
10/09/2018
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