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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DUSTIN J PETERSEN, M.D.

Active

DR. DUSTIN J PETERSEN, M.D. is a Surgical Critical Care healthcare provider located in FORT WAYNE, Indiana. NPI 1265661383 is currently active in the NPPES registry. Verify at CMS.

Surgical Critical Care · FORT WAYNE, IN

Registration Details

NPI Number
1265661383
Provider Type
Individual
Gender
Male
NPI Issued
Jul 10, 2009 (17.105493361997 yrs)
Last Updated
Oct 10, 2022
Licenses
26510 (WV)
01073898A (IN)
26510 (WV)
26510 (WV)
01073898A (IN)

Practice Information

Address
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN, 468451715
Browse IN providers · Browse ZIP 46845
Phone
2602668900
Fax
2602668935
Primary Specialty
Surgical Critical Care
2086S0102X
Additional Specialty
General Surgery
Additional Specialty
Surgical Critical Care
Additional Specialty
Trauma Surgery
Additional Specialty
Trauma Surgery

Other Surgical Critical Care Providers in FORT WAYNE, IN

Name Credential NPI
RICHARD L GEORGE MD 1912941196
DR. LAWRENCE LOTTENBERG MD 1346286184
TIMOTHY H. POHLMAN MD 1487670063
DR. JOSEPH C MULLER M.D. 1851461180
WILLIAM C BECK MD 1669676151
DR. WILLIAM ROSS PEERY II MD 1821294588
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.