Provider Demographics
NPI:1467443069
Name:RASMUSSEN, DEBORAH PETERSON (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:PETERSON
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 9TH ST SE
Mailing Address - Street 2:CENTRACARE HEALTH SYSTEM-LONG PRAIRIE
Mailing Address - City:LONG PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:56347-1404
Mailing Address - Country:US
Mailing Address - Phone:320-732-2131
Mailing Address - Fax:320-732-6913
Practice Address - Street 1:20 9TH ST SE
Practice Address - Street 2:CENTRACARE HEALTH SYSTEM-LONG PRAIRIE
Practice Address - City:LONG PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:56347-1404
Practice Address - Country:US
Practice Address - Phone:320-732-2131
Practice Address - Fax:320-732-6913
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN31728207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
767132OtherARAZ GROUP AMERICAS PPO
HP21164OtherHEALTH PARTNERS
2114036OtherFIRST HEALTH
31728OtherMN LICENSE NUMBER
54Q38RAOtherBLUE CROSS BLUE SHIELD
0119793OtherMEDICA HEALTH PLANS
1006862OtherPREFERRED ONE
111431OtherU CARE
282802200OtherMEDICAL ASSISTANCE
282802200OtherMEDICAL ASSISTANCE
HP21164OtherHEALTH PARTNERS
31728OtherMN LICENSE NUMBER