| Kenneth D Petersen, MD | |
|
1111 Lighthouse Lane, Goshen, IN 46526-3824 | |
| (574) 533-0348 | |
| (574) 533-0277 |
| Full Name | Kenneth D Petersen |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1111 Lighthouse Lane, Goshen, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922092733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01028273 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth D Petersen, MD 1111 Lighthouse Lane, Goshen, IN 46526-3824 Ph: (574) 533-0348 | Kenneth D Petersen, MD 1111 Lighthouse Lane, Goshen, IN 46526-3824 Ph: (574) 533-0348 |
James Nnuro Frimpong, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1122 Professional Dr, Goshen, IN 46526 Phone: 574-533-0560 Fax: 574-533-1716 | |
Dr. Pamela Joybirkholz Stone, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 574-364-2888 Fax: 574-364-2590 | |
Dr. Lorraine E Weaver, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1122 Professional Dr, Goshen, IN 46526 Phone: 574-533-0560 Fax: 574-533-1716 | |
Vernon Maes, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 Lighthouse Lane, Goshen, IN 46526 Phone: 574-533-0348 Fax: 574-533-0277 | |
Rebecca Bauer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2606 Peddlers Village Rd Ste 210, Goshen, IN 46526 Phone: 574-534-3300 Fax: 574-534-5412 | |
Fred A Simon Jr., M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1111 Lighthouse Lane, Goshen, IN 46526 Phone: 574-533-0348 Fax: 574-533-0277 | |
Dr. Sharrell Eltreece Gibson, M.D Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1122 Professional Dr, Goshen, IN 46526 Phone: 574-533-0560 Fax: 574-533-1716 |