Provider Demographics
NPI:1881663805
Name:PARTEN, PETER M (MN)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:M
Last Name:PARTEN
Suffix:
Gender:M
Credentials:MN
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Mailing Address - Street 1:710 COMMERCE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-4925
Mailing Address - Country:US
Mailing Address - Phone:651-968-5042
Mailing Address - Fax:651-968-5904
Practice Address - Street 1:3580 ARCADE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:VADNAIS HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55127-7135
Practice Address - Country:US
Practice Address - Phone:651-968-5770
Practice Address - Fax:651-968-5775
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2015-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN43551207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN200041478OtherRAILROAD MEDICARE
MN747621300Medicaid
MN200001804Medicare PIN
MN747621300Medicaid