Dr BRIAN D PETERSEN MD is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2000 from Medical College Of Wisconsin.
INTEGRA IMAGING PS
174 1ST AVE N
IIWACO
WA
986249137
Tel: 5093637788
| Npi | 1538138516 |
| Pac Id | 3779528542 |
| Professional Enrollment Id | I20140611000371 |
| Last Name | PETERSEN |
| First Name | BRIAN |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | INTEGRA IMAGING PS |
| Group Practice Pac Id | 1355593062 |
| Number Of Group Practice Members | 106 |
| Line 1 Street Address | 174 1ST AVE N |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IIWACO |
| State | WA |
| Zip Code | 986249137 |
| Phone Number | 5093637788 |
| Hospital Affiliation Ccn 1 | 500054 |
| Hospital Affiliation Lbn 1 | PROVIDENCE SACRED HEART MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 500077 |
| Hospital Affiliation Lbn 2 | PROVIDENCE HOLY FAMILY HOSPITAL |
| Hospital Affiliation Ccn 3 | 501305 |
| Hospital Affiliation Lbn 3 | LINCOLN HOSPITAL |
| Hospital Affiliation Ccn 4 | 500058 |
| Hospital Affiliation Lbn 4 | KADLEC REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 501310 |
| Hospital Affiliation Lbn 5 | NEWPORT COMMUNITY HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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