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Susan Peterson, PA
NPI 1205946613 · on the registry since 2006
Practice
- Address
- 11143 Parkview Plaza Dr
100
Fort Wayne, IN 46845 - Phone
- (260) 484-8830
- Fax
- (260) 483-1911
- Organisation at this address
- Northeast Indiana Genetic Counseling Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 127
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-10-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana