Dr. Lindsay F Petersen
Surgeon Surgical Oncologist
2799 West Grand Boulevard Cfp 369
Detroit
, Michigan 48202
Dr. Lindsay F Petersen
Surgeon Surgical Oncologist
2799 West Grand Boulevard Cfp 369
Detroit
, Michigan 48202
(313) 916-9556
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Dr. Lindsay F Petersen
- 2799 West Grand Boulevard Cfp 369
- Detroit, MI
- Zip : 48202
- Fax : (313) 916-9556
- Phone : (313) 399-4967
Second Address
- Dr. Lindsay F Petersen
- 2799 West Grand Boulevard Cfp 369
- Detroit, MI
- Zip : 48202
- Fax : (313) 916-9556
- Phone : (313) 399-4967
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 125-058452 | IL |
| N | 208600000X | Surgeon | 125-058452 | IL |
| N | 208200000X | Surgeon | 4301106616 | MI |
| N | 208600000X | Surgeon | 4301106616 | MI |
| Y | 2086X0206X | Surgical Oncologist | 4301106616 | MI |
National Provider Identifier
| NPI | 1154641280 |
|---|---|
| Provider Name | Dr. Lindsay F Petersen |
| First Address | Detroit, MI 48202 |
| Second Address | Detroit, MI 48202 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2010 |
| Last Update Date | 05/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.