| David C Peterson, DPM | |
|
323 S Minnesota St, Crookston, MN 56716-1601 | |
| (218) 281-9556 | |
| Not Available |
| Full Name | David C Peterson |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 323 S Minnesota St, Crookston, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780760868 | NPI | - | NPPES |
| 26801 | Other | ND | BCBS |
| 0921200001 | Other | DMERC | |
| 597S9PE | Other | MN | BCBS MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 301 (Minnesota) | Primary |
| 213ES0131X | Podiatrist - Foot Surgery | 301 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| David C Peterson, DPM 11823 Maple Lake Dr Se, Mentor, MN 56736-9443 Ph: (218) 574-2220 | David C Peterson, DPM 323 S Minnesota St, Crookston, MN 56716-1601 Ph: (218) 281-9556 |
Richard A Lochner, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9553 Fax: 218-281-9393 | |
Bethany Staehnke, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9200 |