| Mr Marc R Peterson, PA | |
| 
					1515 S Phillips St, Algona, IA 50511-3649  | |
| (515) 295-7714 | |
| (515) 295-4505 | 
| Full Name | Mr Marc R Peterson | 
|---|---|
| Gender | Male | 
| Speciality | Physician Assistant | 
| Location | 1515 S Phillips St, Algona, Iowa | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083783237 | NPI | - | NPPES | 
| 36656 | Other | IA | WELLMARK | 
| 51939 | Other | IA | WELLMARK | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | 000846 (Iowa) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Marc R Peterson, PA 1515 S Phillips St, Algona, IA 50511-3649 Ph: (515) 295-7714  | Mr Marc R Peterson, PA 1515 S Phillips St, Algona, IA 50511-3649 Ph: (515) 295-7714  | 
Mrs. Kimberly Elizabeth Etherington, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1519 S Phillips St, Algona, IA 50511 Phone: 515-295-2451 Fax: 515-295-4505  | |
Mr. Gregory Alan Zaugg, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1519 S Phillips St, Algona, IA 50511 Phone: 515-295-2451  | |
Travis Michael Larson,  Physician Assistant Medicare: Medicare Enrolled Practice Location: 1519 S Phillips St, Algona, IA 50511 Phone: 515-295-2451  | |
Mr. Mark G Davis, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1519 S Phillips St, Algona, IA 50511 Phone: 515-295-7714 Fax: 515-295-4505  |