| Kurt R Peterson, MD | |
|
11725 Stinson Ave, Chisago City, MN 55013-9542 | |
| (651) 257-8499 | |
| Not Available |
| Full Name | Kurt R Peterson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 11725 Stinson Ave, Chisago City, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073565412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29636 (Minnesota) | Primary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Kurt R Peterson, MD 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: () - | Kurt R Peterson, MD 11725 Stinson Ave, Chisago City, MN 55013-9542 Ph: (651) 257-8499 |
Terry W Kopp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11725 Stinson Ave, Chisago City, MN 55013 Phone: 651-257-8499 | |
Thomas Paul Gustafson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11725 Stinson Ave, Chisago City, MN 55013 Phone: 651-257-8499 | |
Robert Paul Post, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11725 Stinson Ave, Chisago City, MN 55013 Phone: 651-257-8499 | |
Nancy L Alexis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11725 Stinson Ave, Chisago City, MN 55013 Phone: 651-257-8499 | |
Dr. Courtney Leigh Moore, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11725 Stinson Ave, Chisago City, MN 55013 Phone: 855-324-7843 | |
Amy Christopherson Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11725 Stinson Ave, Chisago City, MN 55013 Phone: 651-257-8499 |