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Individual

PETER ALAN GOOD

Active
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Individual

PETER ALAN GOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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