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Individual

DR. PETER LOUIS CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 434-1092
(507) 434-1477
Mailing address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 433-7351
(507) 434-1477

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45527
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020054491
MEDICARE RAILROAD
MN
05
355471600
MN
Enumeration date
12/13/2005
Last updated
02/06/2014
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