Steve Alan Petersen
Adult Reconstructive Orthopaedic Surgeon
5601 Loch Raven Blvd Smyth Bldg, Suite G-1
Baltimore
, Maryland 21239-2945
Steve Alan Petersen
Adult Reconstructive Orthopaedic Surgeon
5601 Loch Raven Blvd Smyth Bldg, Suite G-1
Baltimore
, Maryland 21239-2945
(443) 444-4752
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Steve Alan Petersen
- 5601 Loch Raven Blvd Smyth Bldg, Suite G-1
- Baltimore, MD
- Zip : 21239-2945
- Fax : (443) 444-4752
- Phone : (443) 444-4740
Second Address
- Steve Alan Petersen
- 5601 Loch Raven Blvd Smyth Bldg, Suite G-1
- Baltimore, MD
- Zip : 21239-2945
- Fax : (443) 444-4752
- Phone : (443) 444-4740
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | D0065131 | MD |
National Provider Identifier
| NPI | 1205874385 |
|---|---|
| Provider Name | Steve Alan Petersen |
| First Address | Baltimore, MD 21239-2945 |
| Second Address | Baltimore, MD 21239-2945 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2006 |
| Last Update Date | 18/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 012124000 | (05) | MD |
| E96141 | (02) | MD |
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.