Individual
DR. TERRY M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 PETERSON PKWY, NEW LONDON, MN 56273-7823
(320) 354-2222
(320) 354-2274
Mailing address
600 PETERSON PKWY, NEW LONDON, MN 56273-7823
(320) 354-2222
(320) 354-2274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30171
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262890200
—
MN
Enumeration date
02/27/2006
Last updated
08/18/2010
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