Peterka, Mitchell David

Peterka, Mitchell David is an individual health care provider with primary practice located at 1000 W 140Th St Unit 201 , Burnsville MN 55337-4833. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Peterka, Mitchell David can be contacted via phone (952) 808-3000.

Contact Information

Primary practice address
1000 W 140Th St Unit 201 Burnsville MN 55337-4833
Phone: (952) 808-3000
Fax: (952) 808-3001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 13022 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA.0004490 Colorado

Profile Details

NPI number 1598139388
LBN Legal business name Peterka, Mitchell David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2015
Last updated Jun 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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