Individual
TIMOTHY M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 SOUTH SIBLEY AVE, AFFILIATED COMMUNITY MEDICAL CENTERS, LITCHFIELD, MN 55355
(320) 693-3233
(319) 384-6004
Mailing address
520 SOUTH SIBLEY AVE, AFFILIATED COMMUNITY MEDICAL CENTERS, LITCHFIELD, MN 55355
(320) 693-3233
(319) 384-6004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R6912
IA
Other
Enumeration date
05/22/2007
Last updated
04/19/2011
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