Individual
STEVEN MICHAEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 AUDUBON PLAZA DR STE 560, AUDUBON MEDICAL PLAZA EAST, LOUISVILLE, KY 40217-1376
(502) 636-8004
(502) 636-8384
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
46689
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100304080
—
KY
Enumeration date
07/24/2006
Last updated
07/18/2022
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