Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David S. Petersen, M.d.s.c.

Organization Urology Physician · NPI 1982900825

David S. Petersen, M.d.s.c. is an Urology Physician in Moline, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011

Practice location Address checks out

2121 1st Street A
Moline, IL 61265-7745
Phone: (309) 764-9790
Fax: (309) 764-9632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 036-055984 (IL)

Record details

NPI number1982900825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Petersen — President · (309) 764-9790
NPI enumeratedFebruary 9, 2011
Last updated in NPPESFebruary 9, 2011
Mailing address2121 1st Street A, Moline, IL 61265-7745

Other providers in Moline