Female

Gidget Peterson PA-C

Physician Assistant in Virginia, MN(View on Map)

Full Name

Gidget Peterson PA-C

NPI Number

1003846668

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/03/2006

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

California
Minnesota
North Carolina

License Number

PA14874
11015
0010-03146

Contact
Information

Purpose

Mailing
Location

Address

400 E 3RD ST
901 9TH ST N

City

Duluth
Virginia

State

MN
MN

Postal Code

55805-1951
55792-2329

Country

US
US

Telephone Number

N/A
(218) 741-0150

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

Data last updated by provider on 08/02/2019

Provider Address

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