Individual
MICHAEL E PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1115 W 9TH ST, YANKTON, SD 57078-3310
(605) 668-8850
(605) 668-9448
Mailing address
1000 W 4TH ST, SUITE 12, YANKTON, SD 57078-3730
(605) 274-2178
(605) 668-4404
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4826
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01030622
PREFERRED ONE
SD
01
—
1580614
ARAZ
SD
01
—
236639
MIDLANDS CHOICE
SD
01
—
4826
DAKOTACARE
SD
05
—
7200512
—
SD
Enumeration date
10/12/2006
Last updated
08/18/2010
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