SUSAN K. PETERSON

FORT WAYNE, IN
NPI1205946613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IN  10000342A)
Enumeration Date2006-08-30
Last Update Date2009-10-29
Business Address
-- SUSAN K. PETERSON PA
11143 PARKVIEW PLAZA DR 100
FORT WAYNE, IN 46845-1727
Phone number: 260-484-8830
Mailing Address
-- SUSAN K. PETERSON PA
11143 PARKVIEW PLAZA DR 100
FORT WAYNE, IN 46845-1727
Phone number: 260-484-8830
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