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1609849736
MICHAEL T PETERSEN
COUNCIL BLUFFS, IA
NPI
1609849736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IA 28268)
Enumeration Date
2006-02-09
Last Update Date
2007-11-06
Business Address
-- MICHAEL T PETERSEN MD
25 MAIN PL SUITE 425
COUNCIL BLUFFS, IA 51503-0792
Phone number: 712-322-5565
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Mailing Address
-- MICHAEL T PETERSEN MD
25 MAIN PL SUITE 425
COUNCIL BLUFFS, IA 51503-0792
Phone number: 712-322-5565
Copy
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