KENNETH D PETERSEN

GOSHEN, IN
NPI1922092733
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: IN  01028273)
Enumeration Date2005-09-07
Last Update Date2008-02-04
Business Address
-- KENNETH D PETERSEN M.D.
1111 LIGHTHOUSE LANE
GOSHEN, IN 46526-3824
Phone number: 574-533-0348
Mailing Address
-- KENNETH D PETERSEN M.D.
1111 LIGHTHOUSE LANE
GOSHEN, IN 46526-3824
Phone number: 574-533-0348
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