Individual
PETER ERLICH MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
320 E MAIN ST, CUYUNA REGIONAL MEDICAL CENTER, CROSBY, MN 56441-1645
(218) 546-7000
(218) 545-4456
Mailing address
320 EAST MAIN ST, CUYUNA REGIONAL MEDICAL CENTER, CROSBY, MN 56441
(218) 546-7000
(218) 545-4456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35060
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
803077400
—
MN
Enumeration date
12/05/2005
Last updated
11/19/2020
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