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Individual

DR. PETER PAUL CHANG LIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1900 GRASSLAND DR, MITCHELL, SD 57301-6205
(605) 299-6051
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9713
SD
208000000X
Pediatrics Physician
MT202071
PA
2080P0207X
Pediatric Hematology & Oncology Physician
58967
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10045502001
GEISINGER HEALTH PLAN INSURANCE
PA
Enumeration date
07/31/2012
Last updated
12/10/2018
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