Individual
MR. PETER JOHN LINDBLOOM
Active
Individual
MR. PETER JOHN LINDBLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9314
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-13520
MEDICA ONAMIA
MN
01
—
01-19641
MEDICA ISLE
MN
01
—
142458
UCARE
MN
05
—
18358
—
ND
01
—
410785161002
TRICARE CHAMPUS
—
05
—
551295600
—
MN
01
—
562S8LI
BLUE CROSS
MN
01
—
HP23883
HEALTH PARTNERS
MN
01
—
NA9091033077
PREFERRED ONE
MN
Enumeration date
02/10/2006
Last updated
05/15/2013
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