Individual
PETER S DIAMOND
Active
Individual
PETER S DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
67017
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060041167
RRMC-LOCALITY 16
IL
05
—
100048791
—
WI
01
—
1316998578
NPI GROUP PRACTICE
IL
01
—
1616378
BCBS
ID
01
—
4064709
AETNA
IL
01
—
L57038
MEDICARE PIN-LOCALITY 16
IL
01
—
L71656
MEDICARE PIN-LOCALITY 15
IL
Enumeration date
05/31/2006
Last updated
04/06/2023
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