Daniel Lee Peterson, PA-C

NPI #1548578065 in Edina, Minnesota

Provider Information

NPI Number: 1548578065
Entity Type: Individual
Name: Daniel Lee Peterson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 17, 2010
Last Updated: Nov 10, 2022

Practice Location

Address: 4010 W 65TH ST
City: Edina
State: Minnesota
ZIP Code: 55435-1706
Phone: (952) 456-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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