| Michael T. Pederson, Dds | |
|
108 Michigan Avenue West Walker MN 56484 | |
| (218) 547-1851 | |
| (218) 547-2261 |
| Full Name | Michael T. Pederson, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 108 Michigan Avenue West, Walker, Minnesota |
| Authorized Official Name and Position | Kathryn Denise Barker (OFFICE MANAGER) |
| Authorized Official Contact | 2185471851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T. Pederson, Dds Po Box 1389 Walker MN 56484-1389 Ph: (218) 547-1851 | Michael T. Pederson, Dds 108 Michigan Avenue West Walker MN 56484 Ph: (218) 547-1851 |
| NPI Number | 1487675005 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487675005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |