Robert Peterson, PA-C | |
707 Ash Street, Spooner, WI 54801 | |
(715) 635-2151 | |
Not Available |
Full Name | Robert Peterson |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 707 Ash Street, Spooner, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033198957 | NPI | - | NPPES |
209L9PE | Other | MN | BCBS |
410849339 56001 G011 | Other | CHAMPUS | |
NA2951011331 | Other | MN | PREFERRED ONE |
110533700 | Medicaid | MN | |
115317 | Other | MN | UCARE |
0117135 | Other | MN | MEDICA |
HP20659 | Other | MN | HEALTH PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 9873 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Robert Peterson, PA-C 707 Ash Street, Spooner, WI 54801 Ph: (715) 635-2151 | Robert Peterson, PA-C 707 Ash Street, Spooner, WI 54801 Ph: (715) 635-2151 |
Mr. Ethan Edward Smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1180 Chandler Dr, Spooner, WI 54801 Phone: 715-635-2151 |