Individual
PETER WILLIAM WALDUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
(320) 240-2118
Mailing address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44863
MN
208M00000X
Hospitalist Physician
Primary
44863
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0404593
MEDICA HEALTH PLANS
—
01
—
1031038
PREFERRED ONE
—
01
—
141884
U-CARE
—
01
—
1628854
ARAZ GROUP/AMERICA'S PPO
—
01
—
2113976
FIRST HEALTH PLAN
—
01
—
315339800
MEDICAL ASSISTANCE
—
05
—
315339800
—
MN
01
—
60G47WA
BLUE CROSS BLUE SHIELD
—
01
—
HP35324
HEALTH PARTNERS
—
Enumeration date
10/14/2005
Last updated
10/30/2015
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