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Individual

PETER S NOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23067
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112538
UCARE
MN
01
1202178
MEDICA
MN
01
41084933956001C050
CHAMPUS
01
41485NO
BCBS
MN
01
895687
AMERICAS PPO
MN
05
938241
IA
01
HP25857
HEALTH PARTNERS
MN
01
NA2951023848
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
07/13/2026
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