| Dr Paul H Peterson, DPM | |
|
1420 109th Ave Ne Ste 100, Blaine, MN 55449-3603 | |
| (763) 581-5880 | |
| (763) 581-5551 |
| Full Name | Dr Paul H Peterson |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 14 Years |
| Location | 1420 109th Ave Ne Ste 100, Blaine, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083902126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 912 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Memorial Health | Robbinsdale, MN | Hospital |
| Maple Grove Hospital | Maple grove, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Memorial Health Care | 0042123028 | 469 |
| Provider Name | North Memorial Health Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul H Peterson, DPM 1420 109th Ave Ne Ste 100, Blaine, MN 55449-3603 Ph: () - | Dr Paul H Peterson, DPM 1420 109th Ave Ne Ste 100, Blaine, MN 55449-3603 Ph: (763) 581-5880 |
Midwest Foot And Ankle Specialists, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 11901 Central Ave Ne, Blaine, MN 55434 Phone: 612-788-8778 Fax: 612-788-3408 | |
Active Feet , Foot & Ankle Health Clinic, Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 11901 Central Ave Ne, Blaine, MN 55434 Phone: 612-788-8778 Fax: 612-869-3473 |