Dr Carl David Petersen, MD in Granite Bay, CA

Dr Carl David Petersen, MD - Orthopaedic Surgery in Granite Bay, CA

Dr Carl David Petersen, MD is a Orthopaedic Surgery physician based in Granite Bay, California. Dr Carl David Petersen is licensed to practice in California (license number G18463) and his current practice location is 9735 Oak Leaf Way, Granite Bay, California. He can be reached at his office (for appointments etc.) via phone at (916) 521-1379.

NPI number for Dr Carl David Petersen is 1245897669 and his current mailing address is 9735 Oak Leaf Way, Granite Bay, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245897669.

Contact Information

	Dr Carl David Petersen, MD
	9735 Oak Leaf Way, Granite Bay, CA 95746-8921
	(916) 521-1379
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Carl David Petersen
Gender	Male
Speciality	Orthopaedic Surgery
Location	9735 Oak Leaf Way, Granite Bay, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1245897669
Provider Enumeration Date: 05/21/2019
Last Update Date: 05/21/2019

Medical Identifiers

Medical identifiers for Dr Carl David Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245897669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	G18463 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carl David Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Carl David Petersen, MD 9735 Oak Leaf Way, Granite Bay, CA 95746-8921 Ph: (916) 521-1379	Dr Carl David Petersen, MD 9735 Oak Leaf Way, Granite Bay, CA 95746-8921 Ph: (916) 521-1379