Individual
DR. RUSSELL THOMAS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
816 W SAINT GERMAIN ST, SUITE 101, SAINT CLOUD, MN 56301-4502
(320) 252-2454
(320) 252-2232
Mailing address
816 W SAINT GERMAIN ST, SUITE 101, SAINT CLOUD, MN 56301-4502
(320) 252-2454
(320) 252-2232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12530
MN
Other
Enumeration date
06/30/2008
Last updated
05/14/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us