Individual
PETER MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1665 UTICA AVE S - STE 100, MS 31200A, SAINT LOUIS PARK, MN 55416-3476
(952) 541-2500
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
(952) 541-2500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
64301
MN
Other
Enumeration date
06/05/2015
Last updated
08/01/2019
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