| Michael T Petersen, MD | |
| 
					25 Main Pl, Suite 425, Council Bluffs, IA 51503-0792  | |
| (712) 322-5565 | |
| (712) 322-5566 | 
| Full Name | Michael T Petersen | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 25 Main Pl, Council Bluffs, Iowa | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1609849736 | NPI | - | NPPES | 
| 075051 | Medicaid | IA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 28268 (Iowa) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael T Petersen, MD 25 Main Pl, Suite 425, Council Bluffs, IA 51503-0792 Ph: (712) 322-5565  | Michael T Petersen, MD 25 Main Pl, Suite 425, Council Bluffs, IA 51503-0792 Ph: (712) 322-5565  | 
Andrew E Huff, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 201 Ridge St, Suite 102, Council Bluffs, IA 51503 Phone: 402-609-3000 Fax: 402-609-3808  | |
Dr. Anna Marika Stone, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 40 Northcrest Dr Ste 1, Council Bluffs, IA 51503 Phone: 712-328-9605  | |
Dr. Travis John Hayes, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 201 Ridge St, Suite 102, Council Bluffs, IA 51503 Phone: 712-396-4359  | |
Tri H Tran, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-322-5565 Fax: 712-322-5566  | |
Mark A Cade, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-322-5565 Fax: 712-322-5566  |