Petersen, Max Christian

Petersen, Max Christian is an individual health care provider with primary practice located at 4921 Parkview Pl Div Im Endocrinology, Ste 13B, Saint Louis MO 63110-1032. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Petersen, Max Christian can be contacted via phone (314) 362-3500.

Contact Information

Primary practice address
4921 Parkview Pl Div Im Endocrinology, Ste 13B Saint Louis MO 63110-1032
Phone: (314) 362-3500
Fax: (314) 230-1119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 2020015426 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2020015426 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2020015426 Missouri
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 2020015426 Missouri

Profile Details

NPI number 1184112344
LBN Legal business name Petersen, Max Christian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2018
Last updated May 2nd, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1184112344 NPPES
Missouri MEDICAID 200086114

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