Dr Paul H Peterson, DPM | |
1420 109th Ave Ne Ste 100, Blaine, MN 55449-3603 | |
(763) 581-5880 | |
(763) 581-5551 |
Full Name | Dr Paul H Peterson |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 13 Years |
Location | 1420 109th Ave Ne Ste 100, Blaine, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083902126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 912 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Memorial Health | Robbinsdale, MN | Hospital |
Maple Grove Hospital | Maple grove, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Memorial Health Care | 0042123028 | 474 |
Provider Name | North Memorial Health Care |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul H Peterson, DPM 1420 109th Ave Ne Ste 100, Blaine, MN 55449-3603 Ph: () - | Dr Paul H Peterson, DPM 1420 109th Ave Ne Ste 100, Blaine, MN 55449-3603 Ph: (763) 581-5880 |
Midwest Foot And Ankle Specialists, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 11901 Central Ave Ne, Blaine, MN 55434 Phone: 612-788-8778 Fax: 612-788-3408 | |
Midwest Podiatry Centers Blaine Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 11901 Central Ave Ne, Blaine, MN 55434 Phone: 612-788-8778 Fax: 612-869-3473 |