Individual
LINDA RAE PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2199 HIGHWAY 36 E, SAINT PAUL, MN 55109-2215
(651) 779-5986
Mailing address
51057 155TH ST, AUSTIN, MN 55912-6191
(507) 440-1603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9116
MN
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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