DR. Mark Irwin Petersen, MD
NPI #1881647543 in Tonganoxie, Kansas
Provider Information
- NPI Number
- 1881647543
- Entity Type
- Individual
- Name
- DR. Mark Irwin Petersen, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- MD
- Enumeration Date
- May 17, 2006
- Last Updated
- Oct 8, 2024
Practice Location
- Address
- 21107 DONAHOO RD
- City
- Tonganoxie
- State
- Kansas
- ZIP Code
- 66086-4153
- Phone
- (913) 742-4084
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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