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Individual

DR. L DANA PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11155 RAILROAD CREEK VALLEY RD, HOLDEN VILLAGE MEDIC, CHELAN, WA 98816
(360) 319-9829
Mailing address
PO BOX 2, HOLDEN VILLAGE MEDIC, CHELAN, WA 98816-0002

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00014912
WA

Other

Enumeration date
06/09/2006
Last updated
05/31/2016
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