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Individual

DIANA L PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
400 BURDICK EXPY E, MINOT, ND 58701-4768
(701) 857-5413
(701) 857-5028
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 418-8000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7527
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18932
ND
Enumeration date
11/12/2006
Last updated
09/24/2025
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