DR. MARIE ELIZABETH PETERSON (NPI# 1790905669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790905669 |
| Entity Type | Individual |
| Full Name | DR. MARIE ELIZABETH PETERSON |
| Other Name | DR. MARIE ELIZABETH REICHLE |
| Credential | M.D. |
| Practice Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Mailing Address |
1021 Bandana Blvd E Suite 121 Saint Paul MN 55108-5113 |
| Practice Telephone | 6122625000 |
| Mailing Telephone | 6512413959 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 53826 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407405152 | Marie Peterson | Physician Assistant | 4105 Briargate Pkwy Ste 300, Colorado Springs, CO 80920-3487 | 2019-09-05 |
| 1811480239 | Marie Ann Peterson | Student in an Organized Health Care Education/Training Program | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2018-06-11 |
| Street Address |
2925 CHICAGO AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164419644 | Elisa M Smith | Clinical Nurse Specialist | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2005-09-30 |
| 1235736836 | Allina Health System | Clinic/Center | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-10-06 |
| 1477166742 | Erin Eileen Moody | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-08-26 |
| 1619587029 | Katie Lynn Erickson | Registered Nurse | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-08-01 |
| 1285264713 | Ryann A Adkins | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-01-23 |
| 1457981037 | Nicole Elaine Kurtzbein | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-01-22 |
| 1225698087 | Morgan Hanley | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2019-06-14 |
| 1336706290 | Seinah D Isaacs | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2019-05-24 |
| 1245798842 | Megan Pudlik | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2019-03-04 |
| 1689143414 | Eric Glen Trembath | Nurse Practitioner | 2925 Chicago Ave, Minneapolis, MN 55407 | 2018-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578982773 | Lori Ann Fiessinger | Dermatology | 420 Delaware Street Se, Mmc 98, Minneapolis, MN 55455 | 2014-04-15 |
| 1033555230 | Samuel Blake Ecker | Dermatology | 3655 Plymouth Blvd Ste 110, Minneapolis, MN 55446-3665 | 2013-05-14 |
| 1295078913 | Jessica Jane Newman | Dermatology | 4-240, Phillips-wangensteen Bldg., 516 Delaware Street S.e., Mail Code 98, Minneapolis, MN 55455 | 2013-04-01 |
| 1124317383 | Sara Anne Hylwa | Dermatology | 730 South 8th Street, Department of Dermatology, Minneapolis, MN 55415 | 2011-03-28 |
| 1922328418 | Craig Thomas Roelke | Dermatology | 2603 39th Ave Ne, Suite D-202, Minneapolis, MN 55421-4372 | 2010-06-07 |
| 1063731065 | Margareth Pierre-louis | Dermatology | 5000 W 36th St Ste 205, Minneapolis, MN 55416-2760 | 2010-05-31 |
| 1205841715 | Lynda Sue Kauls | Dermatology | 275 Market St, Suite 215, Minneapolis, MN 55405-1627 | 2006-07-31 |
| 1437178811 | John Bergman | Dermatology | 825 Nicollet Mall Ste 1227, Minneapolis, MN 55402-2702 | 2006-07-18 |
| 1134152218 | Maria Kramarczuk Hordinsky | Dermatology | 516 Delaware Street Se, Clinic 5a, Dermatology Clinic, Minneapolis, MN 55455-0356 | 2006-07-09 |
| 1316986268 | Lynn Glesne | Dermatology | 1425 10th Ave S, Minneapolis, MN 55404-1309 | 2006-06-06 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on DR. MARIE ELIZABETH PETERSON.
| 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.