Individual
MR. DENNIS LEE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
705 6TH AVENUE EAST, KALISPELL, MT 59901-5047
(406) 755-7366
(406) 755-7277
Mailing address
705 6TH AVE E, KALISPELL, MT 59901
(406) 755-7366
(406) 755-7277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MED-PHYS-LIC-4557
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143754
—
MT
Enumeration date
01/11/2007
Last updated
04/08/2025
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