Individual provider · Type 1 NPI

Dustin J. Petersen, MD

Surgical Critical Care Physician · Fort Wayne, IN

NPI number 1265661383 Active

Practice location

11141 Parkview Plaza Dr Ste 305
Fort Wayne, IN 46845-1715

Call (260) 266-8900 Map

Fax (260) 266-8935

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X26510 (WV)
Surgery Physician 208600000X01073898A (IN)
Surgical Critical Care Physician 2086S0102X26510 (WV)
Trauma Surgery Physician 2086S0127X26510 (WV)
Trauma Surgery Physician 2086S0127X01073898A (IN)
Surgical Critical Care Physician Primary 2086S0102X01073898A (IN)

Surgical Critical Care Physician: A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care…

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About NPI 1265661383

Dustin J. Petersen, MD's National Provider Identifier is 1265661383, issued on Jul 10, 2009. The primary taxonomy on file is Surgical Critical Care Physician (2086S0102X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 10, 2022.