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David S. Petersen, M.d.s.c.
Urology Physician in Moline, Illinois
NPI 1982900825

David S. Petersen, M.d.s.c. is a Urology Physician based in Moline, IL. David S. Petersen, M.d.s.c. practices in Moline, IL. The NPI Number for David S. Petersen, M.d.s.c. is 1982900825 and holds a License No. 036-055984 (Illinois).

The current practice location address for David S. Petersen, M.d.s.c. is 2121 1St Street A, Moline, IL and can be reached out via phone at 309-764-9790 and via fax at 309-764-9632. You can also correspond with David S. Petersen, M.d.s.c. through the mailing address at 2121 1ST STREET A, MOLINE, IL - 61265-7745 (mailing address contact number: 309-764-9790).

Location: 2121 1St Street A, Moline, IL, 61265-7745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982900825
Provider Name
David S. Petersen, M.d.s.c.
Credential
Provider Entity Type
Organization
Address
2121 1St Street A, Moline, IL, 61265-7745
Phone Number
309-764-9790
Fax Number
309-764-9632
Provider Enumeration Date
02/09/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036055984 05 IL
institution
Provider Business Practice Location Address Details
Address
2121 1St Street A
City
Moline
State
Illinois
Zip
61265-7745
Phone Number
309-764-9790
Fax Number
309-764-9632
person
Provider Business Mailing Address Details
Address
2121 1St Street A
City
Moline
State
Illinois
Zip
61265-7745
Phone Number
309-764-9790
Fax Number
309-764-9632
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
036-055984 (Illinois)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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