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)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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