Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELISABETH M PETERSON, DDS
ActiveDR. ELISABETH M PETERSON, DDS is a Oral & Maxillofacial Surgery healthcare provider located in ST. PAUL, Minnesota. NPI 1508094244 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · ST. PAUL, MN
Registration Details
- NPI Number
- 1508094244
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2009 (17.161278517071 yrs)
- Last Updated
- Mar 30, 2012
- License
-
D12105 (MN)
Practice Information
- Address
-
2500 COMO AVENUEST. PAUL, MN, 551081460Browse MN providers · Browse ZIP 55108
- Phone
- 6519994600
- Fax
- 6516328984
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
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.