Individual
ANITA S ESHELMAN-PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Mailing address
40050 210TH AVE, LAKE MILLS, IA 50450-7624
(641) 592-2361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27680
IA
207Q00000X
Family Medicine Physician
38164
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
477215600
—
MN
Enumeration date
01/13/2006
Last updated
03/14/2023
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