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Individual

DR. PETER VANEERDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.S.

Contact information

Practice address
801 BROADWAY N, FARGO, ND 58122
(701) 234-2241
(701) 234-4877
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
10833
ND
207VM0101X
Maternal & Fetal Medicine Physician
5607
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6201360
SD
Enumeration date
06/27/2005
Last updated
11/21/2022
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