Individual provider · Type 1 NPI

Matthew James Petersen, MD

Diagnostic Radiology Physician · Indianapolis, IN

NPI number 1972767556 Active

Practice location

1701 N Senate Blvd, Radiology Dept
Indianapolis, IN 46202-1239

Mailing address

714 N Senate Ave, Ste 100
Indianapolis, IN 46202-3763

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X11013619A (IN)
Diagnostic Radiology Physician Primary 2085R0202X01069464A (IN)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1972767556

Matthew James Petersen, MD's National Provider Identifier is 1972767556, issued on Jul 14, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 28, 2011.