Individual provider · Type 1 NPI
Michael Charles Petersen, MD
Pediatric Emergency Medicine (Pediatrics) Physician · Austin, TX
NPI number
1881798379
Active
Practice location
12356 Riata Trace Pkwy # 6006-B
Austin, TX 78727-6417
Fax (314) 251-4450
Other practice locations
- 621 S New Ballas Rd, 6006-B, St. Louis, MO 63141-8232 · (314) 251-6299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 2006027561 (MO) |
| Pediatric Emergency Medicine (Pediatrics) Physician Primary | 2080P0204X | Q2049 (TX) |
Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.
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- Cynthia L. Schroeder, MDPediatric Emergency Medicine (Pediatrics) Physician Austin, TX NPI 1336226455
- Hermann Pierre Piard Jr., MDPediatric Emergency Medicine (Pediatrics) Physician Austin, TX NPI 1386175453
- Andrea Michelle DiebelPediatric Emergency Medicine (Pediatrics) Physician Austin, TX NPI 1467742676
- Mark Dariush Tabarrok, MDPediatric Emergency Medicine (Pediatrics) Physician Austin, TX NPI 1497950075
About NPI 1881798379
Michael Charles Petersen, MD's National Provider Identifier is 1881798379, issued on Sep 12, 2006. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Austin, TX. The record was last updated on Sep 4, 2019.