Individual provider · Type 1 NPI

Ronald D. Peterson, DO

Specialist · Munster, IN

NPI number 1376592840 Active

Practice location

901 Macarthur Blvd
Munster, IN 46321-2901

Mailing address

744 W Michigan Ave
Jackson, MI 49201-1909

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X02002148A (IN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1376592840

Ronald D. Peterson, DO's National Provider Identifier is 1376592840, issued on May 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Munster, IN. The record was last updated on Jan 27, 2010.