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Susan K. Peterson, PA
Medical Physician Assistant in Fort Wayne, Indiana
NPI 1205946613

Susan K. Peterson is a Medical Physician Assistant based in Fort Wayne, IN and is specialized in Medical. Susan K. Peterson practices in Fort Wayne, IN and has the professional credentials of PA. The NPI Number for Susan K. Peterson is 1205946613 and holds a License No. 10000342A (Indiana).

The current practice location address for Susan K. Peterson is 11143 Parkview Plaza Dr, Fort Wayne, IN and can be reached out via phone at 260-484-8830 and via fax at 260-483-1911. You can also correspond with Susan K. Peterson through the mailing address at 11143 PARKVIEW PLAZA DR, FORT WAYNE, IN - 46845-1727 (mailing address contact number: 260-484-8830).

Location: 11143 Parkview Plaza Dr, Fort Wayne, IN, 46845-1727
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Provider Profile Details
NPI Number
1205946613
Provider Name
Susan K. Peterson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
11143 Parkview Plaza Dr, Fort Wayne, IN, 46845-1727
Phone Number
260-484-8830
Fax Number
260-483-1911
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000528371 01 IN ANTHEM PIN
institution
Provider Business Practice Location Address Details
Address
11143 Parkview Plaza Dr
City
State
Zip
46845-1727
Phone Number
260-484-8830
Fax Number
260-483-1911
person
Provider Business Mailing Address Details
Address
11143 Parkview Plaza Dr
City
State
Zip
46845-1727
Phone Number
260-484-8830
Fax Number
260-483-1911
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10000342A (Indiana)
Definition
Definition to come...
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