Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK IRWIN PETERSEN, MD
ActiveDR. MARK IRWIN PETERSEN, MD is a Internal Medicine healthcare provider located in TONGANOXIE, Kansas. NPI 1881647543 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · TONGANOXIE, KS
Registration Details
- NPI Number
- 1881647543
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2006 (20.099621377689 yrs)
- Last Updated
- Oct 8, 2024
- Licenses
-
04-21601 (KS)0421601 (KS)
Practice Information
- Address
-
21107 DONAHOO RDTONGANOXIE, KS, 660864153Browse KS providers · Browse ZIP 66086
- Phone
- 9137424084
- Fax
- 9137424086
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
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.