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Individual

DR. SIEGLINDE IRIS PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
15111 TWELVE OAKS CENTER DR, MINNETONKA, MN 55305-5201
(952) 993-4649
(952) 993-4676
Mailing address
15111 TWELVE OAKS CENTER DR, MINNETONKA, MN 55305-5201
(952) 993-4649
(952) 993-4676

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44814
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1041309
PREFERRED ONE
MN
01
132018
UCARE MN
MN
01
2151648
AMERICA'S PPO
MN
01
303M0PE
BCBS OF MN
MN
01
6607782
MEDICA UC #
MN
05
697640900
MN
01
HP42876
HEALTHPARTNERS
MN
Enumeration date
07/07/2006
Last updated
10/05/2011
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