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Dr. Jeffrey E Petersen, MD
MOHS-Micrographic Surgery Physician in Fenton, Missouri
NPI 1275551707

Jeffrey E Petersen is a MOHS-Micrographic Surgery Physician based in Fenton, MO and is specialized in MOHS-Micrographic Surgery. Jeffrey E Petersen practices in Fenton, MO and has the professional credentials of MD. The NPI Number for Jeffrey E Petersen is 1275551707 and holds a License No. 2001020599 (Missouri).

The current practice location address for Jeffrey E Petersen is 1011 Bowles Ave, Fenton, MO and can be reached out via phone at 314-200-2713 and via fax at 314-200-2714.

Location: 1011 Bowles Ave, Fenton, MO, 63026-2395
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275551707
Provider Name
Jeffrey E Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1011 Bowles Ave, Fenton, MO, 63026-2395
Phone Number
314-200-2713
Fax Number
314-200-2714
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
703212 01 MO AETNA
146422 01 MO-BLUE SHIELD
205401409 05 MO
853972 01 MO ANTHEM
3177332 01 MO CIGNA
institution
Provider Business Practice Location Address Details
Address
1011 Bowles Ave
City
Fenton
State
Missouri
Zip
63026-2395
Phone Number
314-200-2713
Fax Number
314-200-2714
person
Provider Business Mailing Address Details
Address
1011 Bowles Ave
City
Fenton
State
Missouri
Zip
63026-2395
Phone Number
314-200-2713
Fax Number
314-200-2714
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
2001020599 (Missouri)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
207ND0101X
License No.
2001020599 (Missouri)
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
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