Individual
CARL EVERS PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21205-2101
(410) 955-4297
(410) 955-8691
Mailing address
600 N WOLFE ST, BALTIMORE, MD 21205-2101
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
OS010458L
PA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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