Individual
MR. ROBERT W PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
920 E 1ST ST, SUITE 101, DULUTH, MN 55805-2201
(218) 279-6211
(218) 279-6205
Mailing address
5423 MCQUADE RD, DULUTH, MN 55804-3335
(218) 525-1634
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R069961-5
MN
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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