Individual
PETER ALAN GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 786-8364
Mailing address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45984
MN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
45984
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407103
MEDICA
—
01
—
585241040029
PREFERRED ONE
—
05
—
587483100
—
MN
01
—
68G79G0
BCBS
—
Enumeration date
04/26/2006
Last updated
06/24/2020
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