Individual provider · Type 1 NPI

Dana M. Petersen, MD

Specialist · Olympia, WA

NPI number 1912974155 Active

Practice location

3434 12th Ave NE
Olympia, WA 98506

Fax (360) 413-8490

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD00019243 (WA)

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 1912974155

Dana M. Petersen, MD's National Provider Identifier is 1912974155, issued on Mar 7, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Olympia, WA. The record was last updated on Feb 3, 2014.