| Dr Michael James Petersen, DDS | |
|
3101 Old Highway 8, Suite #303, Roseville, MN 55113-1072 | |
| (651) 636-0840 | |
| (651) 633-1760 |
| Full Name | Dr Michael James Petersen |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 3101 Old Highway 8, Roseville, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407902307 | NPI | - | NPPES |
| (NEED TYPE 2 # ALSO) | Other | MN | (INCORPORATED)HAVE IND.# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9923 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael James Petersen, DDS 3101 Old Highway 8, Suite #303, Roseville, MN 55113-1072 Ph: (651) 636-0840 | Dr Michael James Petersen, DDS 3101 Old Highway 8, Suite #303, Roseville, MN 55113-1072 Ph: (651) 636-0840 |
Stephanie Mazhari Huang, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 708 County Road B W, Roseville, MN 55113 Phone: 651-489-0161 Fax: 651-489-9938 | |
Dr. Kirk Roland Baumgardner, DDS, PHD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1835 County Road C W, Roseville, MN 55113 Phone: 651-746-0587 Fax: 651-636-1118 | |
Dr. Douglas Kenneth Keim,, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2233 Hamline Ave N, Suite 210, Roseville, MN 55113 Phone: 651-631-2944 Fax: 651-639-1439 | |
Michael Warren Geiser, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2233 Hamline Ave N, Suite 111, Roseville, MN 55113 Phone: 651-633-5087 Fax: 651-633-5148 | |
Dr. Teodora Nikolaeva Baylon, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2233 Hamline Ave N, Roseville, MN 55113 Phone: 651-636-0655 | |
Craig Anthony Sulzdorf, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1912 Lexington Ave N Ste 200, Roseville, MN 55113 Phone: 651-631-3610 | |
Dr. Pamela Jean Holm, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1835 County Road C W, #220, Roseville, MN 55113 Phone: 651-636-2123 Fax: 651-636-2614 |