Individual
DR. ERIK CHRISTIAN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
990 OAK RIDGE TPKE, OAK RIDGE, TN 37830
(865) 481-1000
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DO1435
TN
207R00000X
Internal Medicine Physician
Primary
DO1435
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009926055
—
AL
05
—
039536378A
—
GA
05
—
3307144
—
TN
01
—
4034045
BLUE CROSS
TN
01
—
4049686
BLUE CROSS
TN
01
—
P00254942
RRGA
TN
01
—
P00287182
RAILROAD MEDICARE
TN
05
—
Q030385
—
TN
Enumeration date
06/09/2006
Last updated
11/12/2025
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