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Dr. Dana M Petersen, MD
Specialist in Olympia, Washington
NPI 1912974155

Dana M Petersen is a Specialist based in Olympia, WA. Dana M Petersen practices in Olympia, WA and has the professional credentials of MD. The NPI Number for Dana M Petersen is 1912974155 and holds a License No. MD00019243 (Washington).

The current practice location address for Dana M Petersen is 3434 12Th Ave Ne, Olympia, WA and can be reached out via phone at 360-413-8470 and via fax at 360-413-8490. You can also correspond with Dana M Petersen through the mailing address at 3434 12TH AVE NE, OLYMPIA, WA - 98506 (mailing address contact number: 360-413-8470).

Location: 3434 12Th Ave Ne, Olympia, WA, 98506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912974155
Provider Name
Dana M Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3434 12Th Ave Ne, Olympia, WA, 98506
Phone Number
360-413-8470
Fax Number
360-413-8490
Provider Enumeration Date
03/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8422909 05 WA
institution
Provider Business Practice Location Address Details
Address
3434 12Th Ave Ne
City
Olympia
State
Washington
Zip
98506
Phone Number
360-413-8470
Fax Number
360-413-8490
person
Provider Business Mailing Address Details
Address
3434 12Th Ave Ne
City
Olympia
State
Washington
Zip
98506
Phone Number
360-413-8470
Fax Number
360-413-8490
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD00019243 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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