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1972746931
MICHAEL G PETERSEN
AUSTIN, TX
NPI
1972746931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA06055)
Enumeration Date
2009-04-07
Last Update Date
2011-03-18
Business Address
-- MICHAEL G PETERSEN PA-C
7201 MANCHACA RD STE B
AUSTIN, TX 78745-5283
Phone number: 512-443-3577
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Mailing Address
-- MICHAEL G PETERSEN PA-C
7201 MANCHACA RD STE B
AUSTIN, TX 78745-5283
Phone number: 512-443-3577
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