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Individual

DR. PETER CERMAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
UFP PHALEN VILLAGE CLINIC, 1414 MARYLAND AVENUE EAST, SAINT PAUL, MN 55106
(651) 772-3461
(651) 772-2605
Mailing address
UFP PHALEN VILLAGE CLINIC, 1414 MARYLAND AVENUE EAST, SAINT PAUL, MN 55106
(651) 772-3461
(651) 772-2605

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20653
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-02443
MEDICA
MN
01
04-02514
MEDICA CHOICE & PRIMARY
MN
01
1000614
UCARE
MN
01
1027633
ARAZ
MN
05
31320300
WI
01
42G35CE
BCBS
MN
05
440385100
MN
01
HP15990
HEALTHPARTNERS
MN
Enumeration date
06/26/2006
Last updated
07/09/2007
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