Dr Michael Gene Peterson, MD | |
201 E. Nicollet Blvd., Burnsville, MN 55337 | |
(612) 889-5480 | |
Not Available |
Full Name | Dr Michael Gene Peterson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 201 E. Nicollet Blvd., Burnsville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609079094 | NPI | - | NPPES |
1609079094 | Medicaid | MN | |
52328 | Other | MN | MN MEDICAL LICENSE |
207P00000X | Other | PROVIDER TAXONOMY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301085530 (Michigan) | Secondary |
207P00000X | Emergency Medicine | 52328 (Minnesota) | Primary |
Entity Name | Northfield Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417990805 PECOS PAC ID: 2567372998 Enrollment ID: O20031117000052 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Gene Peterson, MD 5435 Feltl Rd, Minnetonka, MN 55343-7983 Ph: (952) 857-1504 | Dr Michael Gene Peterson, MD 201 E. Nicollet Blvd., Burnsville, MN 55337 Ph: (612) 889-5480 |
Viorel Guter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 14000 Nicollet Ave Ste 100, Burnsville, MN 55337 Phone: 952-428-0200 | |
Thomas Egger Sr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 E Nicollet Blvd, Fairview Ridges Hospital, Burnsville, MN 55337 Phone: 952-892-2021 Fax: 952-892-2670 | |
Brian Goodman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 E Nicollet Blvd, Fairview Ridges Hospital, Burnsville, MN 55337 Phone: 952-892-2021 Fax: 952-892-2670 | |
Michele Richardson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-2021 Fax: 952-892-2670 | |
Allison Heimer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 E Nicollet Blvd, Fairview Ridges Hospital, Burnsville, MN 55337 Phone: 952-892-2021 Fax: 952-892-2670 | |
Wenlan Cheng, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 E Nicollet Blvd, Fv Ridges Hospital, Burnsville, MN 55337 Phone: 952-892-2021 Fax: 952-892-2670 |