DAVID S. PETERSEN, M.D.S.C.

MOLINE, IL
NPI1982900825
Entity TypeOrganization
Authorized ContactDAVID S PETERSEN
President
309-764-9790
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: IL  036-055984)
Enumeration Date2011-02-09
Last Update Date2011-02-09
Business Address
DAVID S. PETERSEN, M.D.S.C.
2121 1ST STREET A
MOLINE, IL 61265-7745
Phone number: 309-764-9790
Mailing Address
DAVID S. PETERSEN, M.D.S.C.
2121 1ST STREET A
MOLINE, IL 61265-7745
Phone number: 309-764-9790
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