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

MITCHELL DAVID PETERKA, PA-C

Active

MITCHELL DAVID PETERKA, PA-C is a Surgical Physician Assistant healthcare provider located in BURNSVILLE, Minnesota. NPI 1598139388 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · BURNSVILLE, MN

Registration Details

NPI Number
1598139388
Provider Type
Individual
Gender
Male
NPI Issued
Nov 17, 2015 (10.711626287525 yrs)
Last Updated
Jun 5, 2019
Licenses
13022 (MN)
PA.0004490 (CO)

Practice Information

Address
1000 W 140TH ST UNIT 201
BURNSVILLE, MN, 553374833
Browse MN providers · Browse ZIP 55337
Phone
9528083000
Fax
9528083001
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in BURNSVILLE, MN

Name Credential NPI
MS. KAREN J BREHMER OPA-C 1750369963
ELIZABETH ALICE WITCHGER PAC 1316050032
JULIE CYNTHIA KULAS PAC 1225207699
JESSIE CHRISTINE DONOVAN PA-C 1720395544
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.