DR. MICHAEL D PETERS


Address: 9825 Hospital Dr, Suite Ll-10, Maple Grove, MN 55369-4479
Phone: 6123392836

DR. MICHAEL D PETERS (NPI# 1194775429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194775429
Entity Type Individual
Full Name DR. MICHAEL D PETERS
Credential M.D.
Practice Address 9825 Hospital Dr
Suite Ll-10
Maple Grove
MN 55369-4479
Practice Telephone 6123392836
Practice Fax Number 7634203376
Mailing Telephone 6123392836
Mailing Fax Number 7634203367
Enumeration Date 2006-05-10
Last Update Date 2012-10-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YS0123X Otolaryngology
Specialization: Facial Plastic Surgery
44049 MN Allopathic & Osteopathic Physicians

Other Providers MICHAEL PETERS

NPI Name Taxonomy Address Enumeration
1588189039 Michael Joseph Peters Sr. Counselor 56 Malden St, Worcester, MA 01606 2017-08-06
1134571235 Michael Peters Military Health Care Provider 2830 Tuscaloosa St, San Diego, CA 92110-4264 2016-07-13
1811216872 Michael S Peters Chiropractor 1218 Nw 21st Ave, Portland, OR 97209-1609 2010-05-28
1770802696 Michael D Peters Psychologist 5814 La Salle Ave, Oakland, CA 94611-3210 2010-05-18
1871756296 Michael K Peters Dentist 1866 Haslett Rd, East Lansing, MI 48823 2008-07-07
1790835460 Michael Howard Peters Psychologist 37 Riviera Dr, Selden, NY 11784-1765 2007-01-12
1689698714 Michael Robert Peters Dentist 3625 S Soncy Rd, Amarillo, TX 79119-6402 2006-07-26
1033159918 Michael E Peters Physical Therapist 1675 Lance Pointe Rd, Maumee, OH 43537-1603 2006-06-07
1023005097 Michael E Peters Family Medicine 3360 Lacrosse Ln, Suite 106, Naperville, IL 60564-8136 2005-10-04
1306839766 Michael Peters Optometrist 14460 New Falls of Neuse, Raleigh, NC 27614-8227 2005-08-31

Office Location

Street Address 9825 HOSPITAL DR
SUITE LL-10
City MAPLE GROVE
State MN
Zip Code 55369-4479

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740255884 Dana M Carlson Surgery 9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 2006-02-22
1295283075 Marian Laura Elizabeth Keillor Advanced Practice Midwife 9825 Hospital Dr, #205, Maple Grove, MN 55369-4479 2016-09-21
1609323393 Jennifer Renae Narveson Nurse Practitioner 9825 Hospital Dr, Ste 205, Maple Grove, MN 55369-4479 2016-09-09
1528477197 Courtney Lynn Kovacs Physical Therapist 9825 Hospital Dr, Suite 104, Maple Grove, MN 55369-4479 2014-08-08
1356757637 Ashley Waldock Audiologist 9825 Hospital Dr, Suite Ll-10, Maple Grove, MN 55369-4479 2014-07-07
1255744694 Elizabeth Becker Registered Nurse 9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 2014-06-03
1639510795 Megan E Fasching Physician Assistant 9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 2013-07-17
1952661357 Bridget Miskowiec Carlson Audiologist 9825 Hospital Dr, Suite Ll 10, Maple Grove, MN 55369-4479 2012-05-21
1245510031 Sara Lindgren Hearing Instrument Specialist 9825 Hospital Dr, Ll10, Maple Grove, MN 55369-4479 2011-08-24
1508199423 Kelly R Ihry Nurse Practitioner 9825 Hospital Dr, #205, Maple Grove, MN 55369 2009-09-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376144188 Bonnie Rose Theis Counselor 24 3rd Ave Ne, Unit B, Osseo, MN 55369 2020-11-06
1356976328 Kirollos Samir Hanna Pharmacist 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 2020-03-10
1396395463 Susan Osborne Technician 9240 Orchid Lane, Maple Grove, MN 55369 2019-09-19
1710537196 Janis Langsdale Technician 11070 108 Avenue North, Maple Grove, MN 55369 2019-09-17
1043724552 Tracey Wahlquist Speech-Language Pathologist 11100 86th Ave N, Maple Grove, MN 55369 2017-11-20
1154860005 Kayla Uptagrafft Specialist/Technologist 9555 Upland Lane Norh, Maple Grove, MN 55369 2017-02-13
1750823324 Jennifer Ranallo Social Worker 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 2016-11-13
1558723999 Debra Grace Boersma Advanced Practice Midwife 9825 Hospital Dr#205, Maple Grove, MN 55369 2016-03-24
1396129433 Maple Grove Smiles Dentistry, PC Dentist 12775 Elm Creek Blvd N, Maple Grove, MN 55369 2015-07-18
1558755900 Krista Newman Counselor 24 3rd St Nw, Unit B, Osseo, MN 55369 2015-03-24
Find all providers in zip 55369

Taxonomy Information

Taxonomy Code 207YS0123X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Facial Plastic Surgery

Taxonomy Definition

An otolaryngologist who specializes in facial plastic surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427493485 Ronald J Schroeder II Otolaryngology 2080 Woodwinds Dr Ste 220, Woodbury, MN 55125-2529 2013-05-05
1851518674 Edward Henry Szachowicz Otolaryngology 7373 France Av. So., Suite #508, Edina, MN 55435-4549 2007-04-20
1306842711 Rick Lee Nissen Otolaryngology 8714 Lyndale Ave S, Minneapolis, MN 55420-2738 2005-06-22
1669897500 Casey Fisher Otolaryngology 3366 Oakdale Ave N Ste 150, Robbinsdale, MN 55422-2978 2014-03-02
1316212632 Brett James Baldwin Otolaryngology 1421 Premier Dr, Mankato, MN 56001-6076 2012-03-20
1891089850 Nathan Daniel Johnson Otolaryngology 2211 Park Ave, Minneapolis, MN 55404-3711 2011-06-07
1265583652 Kurtis A. Waters, M.d., P.a. Otolaryngology 13359 Isle Dr, Suite 1, Baxter, MN 56425-2221 2007-01-15
1043256357 Christopher John Tolan Otolaryngology 2080 Woodwinds Drive, #240, Woodbury, MN 55125 2006-06-22

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City MAPLE GROVE
Zip Code 55369

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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