Individual
DR. KARL GREGORY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3013 W SPRUCELEIGH CT, SIOUX FALLS, SD 57105-0170
(605) 338-5333
Mailing address
3013 W SPRUCELEIGH CT, SIOUX FALLS, SD 57105-0170
(605) 338-5333
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
1228
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D25542
UPIN
SD
Enumeration date
03/05/2009
Last updated
03/05/2009
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