Individual
DENNIS L PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 NORTHWAY DRIVE, SUITE 200, ST CLOUD, MN 56303-4913
(320) 240-3157
(320) 240-3143
Mailing address
1555 NORTHWAY DRIVE, SUITE 200, ST CLOUD, MN 56303-4913
(320) 240-3157
(320) 240-3143
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33856
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-25185
MEDICA
MN
01
—
080049494
RR MEDICARE
MN
01
—
114462
UCARE
MN
05
—
118202100
—
MN
01
—
2F977PE
BLUE CROSS BLUE SHIELD
MN
01
—
325101845
PRIMEWEST
MN
01
—
764610
ARAZ
MN
01
—
HP21681
HEALTH PARTNERS
MN
01
—
MR1081007925
PREFERRED ONE
MN
Enumeration date
07/18/2006
Last updated
09/10/2013
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