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Male or Other

Carter M. Peatross MD

Anesthesiology Physician in Coon Rapids, MN(View on Map)

Full Name

Carter M Peatross MD

NPI Number

1154647444

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/13/2010

Specialties

(Taxonomies)

Name

Anesthesiology Physician
Student in an Organized Health Care Education/Training Program

Code

207L00000X
390200000X

Primary Taxonomy

Yes
No

Licenses

State

Minnesota

License Number

57454

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 47159
4050 COON RAPIDS BLVD NW

City

Plymouth
Coon Rapids

State

MN
MN

Postal Code

55447-0159
55433-2522

Country

US
US

Telephone Number

(763) 559-3779
(763) 559-3779

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/04/2015

Provider Address

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