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Individual

SUSAN PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2019 BROADWATER AVE, BILLINGS, MT 59102-4810
(406) 237-5200
(406) 237-5205
Mailing address
2019 BROADWATER AVE, BILLINGS, MT 59102-4810
(406) 237-5200
(406) 237-5205

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8399
MT

Other

Enumeration date
06/12/2006
Last updated
01/09/2014
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