Individual
DR. GARY DANIEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 529-6600
Mailing address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 529-6600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2016022176
MO
207L00000X
Anesthesiology Physician
2020013851
MO
207L00000X
Anesthesiology Physician
Primary
74496
MN
Other
Enumeration date
07/01/2016
Last updated
09/05/2023
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