Individual
DR. DANIEL ALBIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, ROSS 659, BALTIMORE, MD 21287-0005
(443) 287-4593
Mailing address
PO BOX 64478, BALTIMORE, MD 21264-4478
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D72729
MD
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
200301074
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047493200
—
MD
Enumeration date
05/18/2007
Last updated
12/27/2012
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