Dr MARK I PETERSEN MD is a male medical professional, specializing in Internal Medicine. He graduated in 1984 from University Of Kansas School Of Medicine.
21107 DONAHOO RD
TONGANOXIE
KS
660864153
Tel:
| Npi | 1881647543 |
| Pac Id | 9133190168 |
| Professional Enrollment Id | I20120303000026 |
| Last Name | PETERSEN |
| First Name | MARK |
| Middle Name | I |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 21107 DONAHOO RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | TONGANOXIE |
| State | KS |
| Zip Code | 660864153 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 170014 |
| Hospital Affiliation Lbn 1 | RANSOM MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 171384 |
| Hospital Affiliation Lbn 2 | NEWMAN REGIONAL HEALTH |
| Hospital Affiliation Ccn 3 | 170109 |
| Hospital Affiliation Lbn 3 | MIAMI COUNTY MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 170146 |
| Hospital Affiliation Lbn 4 | PROVIDENCE MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 170049 |
| Hospital Affiliation Lbn 5 | OLATHE MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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