Individual
DR. PETER BRUCE BITTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A, MINNEAPOLIS, MN 55455
(612) 626-6100
Mailing address
720 WASHINGTON AV SE, SUITE 200, MINNEAPOLIS, MN 55414
(612) 884-0649
(612) 676-8992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29523
MN
207RP1001X
Pulmonary Disease Physician
Primary
29523
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500876
—
IA
01
—
100815
UCARE
MN
01
—
1008984
PREFERRED ONE
MN
05
—
10387
—
ND
05
—
182077000
—
MN
01
—
2T129BI
BCBS
MN
05
—
30705900
—
WI
01
—
48-00006
MEDICA PRIMARY
MN
01
—
48-00209
MEDICA CHOICE
MN
01
—
768024
ARAZ
MN
05
—
7777470
—
SD
01
—
HP22241
HEALTHPARTNERS
MN
Enumeration date
06/22/2006
Last updated
04/23/2012
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