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Glen W. Petersen, MD
Pulmonary Disease Physician in Oakland, California
NPI 1467495986

Glen W. Petersen is a Pulmonary Disease Physician based in Oakland, CA and is specialized in Pulmonary Disease. Glen W. Petersen practices in Oakland, CA and has the professional credentials of MD. The NPI Number for Glen W. Petersen is 1467495986 and holds a License No. A26004 (California).

The current practice location address for Glen W. Petersen is 411 30Th St, Oakland, CA and can be reached out via phone at 510-465-6800 and via fax at 510-268-0634.

Location: 411 30Th St, Oakland, CA, 94609-3312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467495986
Provider Name
Glen W. Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
411 30Th St, Oakland, CA, 94609-3312
Phone Number
510-465-6800
Fax Number
510-268-0634
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A260040 05 CA
institution
Provider Business Practice Location Address Details
Address
411 30Th St
City
Oakland
State
California
Zip
94609-3312
Phone Number
510-465-6800
Fax Number
510-268-0634
person
Provider Business Mailing Address Details
Address
411 30Th St
City
Oakland
State
California
Zip
94609-3312
Phone Number
510-465-6800
Fax Number
510-268-0634
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
A26004 (California)
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
A26004 (California)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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