Individual
DR. PETER VASCONCELLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 326-3401
Mailing address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 326-3401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3288
IA
207Q00000X
Family Medicine Physician
77374
MN
207Q00000X
Family Medicine Physician
Primary
N9792
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205666
—
IA
Enumeration date
03/14/2006
Last updated
12/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us