Michael James Petersen, M.D.

NPI #1902899057 in East Setauket, New York

Provider Information

NPI Number
1902899057
Entity Type
Individual
Name
Michael James Petersen, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Surgery - Vascular Surgery
Credential
M.D.
Enumeration Date
Aug 24, 2005
Last Updated
Jun 6, 2016

Practice Location

Address
4 TECHNOLOGY DR
Address 2
SUITE 120
ZIP Code
11733-4068
Phone
(631) 246-8289

Specialties & Taxonomy Codes

Specialty
Specialist
Surgery - Vascular SurgeryVascular Surgery

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