Individual
OLIVER PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
47259
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
82328
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422690401
—
TX
01
—
422690402
CSHCN
TX
Enumeration date
08/30/2019
Last updated
05/13/2026
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