Bruce A Peterson (NPI# 1467557645, PAC ID# 0941202329) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1467557645 |
| PAC ID by PECOS | 0941202329 |
| Professional Enrollment ID | I20070214000129 |
| Full Name | Bruce A Peterson |
| Address |
2599 N White Bear Ave Maplewood MN 55109-5171 |
| Gender | M |
| Credential | DC |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1986 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2599 N White Bear Ave, Maplewood, MN 55109-5171 |
| Street Address |
2599 N WHITE BEAR AVE |
| City | MAPLEWOOD |
| State | MN |
| Zip | 55109-5171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Blackburn | Psychologist, Clinical | Group Health Plan Inc | 2688 Maplewood Dr, Maplewood, MN 55109-1021 |
| James P Davig | Psychologist, Clinical | Group Health Plan Inc | 2688 Maplewood Dr, Maplewood, MN 55109-1021 |
| Jane C Dever | Psychiatry | Group Health Plan Inc | 2688 Maplewood Dr, Maplewood, MN 55109-1021 |
| David H Hess | Optometry | 1431 Beam Ave, Maplewood, MN 55109-1064 | |
| Admatha Muthyala Winfred | Hospitalist | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Kathryn Kempe O'morchoe | Physician Assistant | Minnesota Gastroenterology Pa | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Lori A Fisher | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Rahul Koranne | Internal Medicine | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Mark K Thalacker | Nurse Practitioner | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Ryan H Ban | Hospitalist | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Find all physicians in zip 55109 | |||
| City | MAPLEWOOD |
| Zip Code | 55109 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MAPLEWOOD + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.