Individual
ANDREW HUNTER PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
211 W MAPLE AVE, FAYETTEVILLE, WV 25840-1445
(304) 900-5511
Mailing address
5378 AVERY RD, DUBLIN, OH 43016-6933
(614) 771-9871
(614) 771-9877
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
207YX0905X
OH
Other
Enumeration date
03/20/2012
Last updated
09/17/2020
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