Individual
DALE R PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 BLAISDELL AVE, PARK NICOLLET CLINIC MINNEAPOLIS, MINNEAPOLIS, MN 55404-2414
(952) 993-8000
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
(952) 993-6450
(952) 993-0300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32723
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
728595700
—
MN
Enumeration date
11/30/2005
Last updated
10/20/2011
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