Individual
DR. TED STEVEN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9 E GARFIELD RD, AURORA, OH 44202-6713
(330) 562-2211
Mailing address
10440 WYE ROAD, CHESTERLAND, OH 44026-3326
(440) 285-9086
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
36.001787
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0321904
—
OH
Enumeration date
07/12/2006
Last updated
07/30/2008
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