Tyler Gavin Petersen, MD
Tyler Gavin Petersen, MD is a Student in an Organized Health Care Education/Training Program in Cooperstown, New York. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1 Atwell RdCooperstown, NY 13326-1301
Phone: (607) 547-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1992557383 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 1, 2024 |
| Last updated in NPPES | April 27, 2024 |
| Certification date | April 27, 2024 |
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Rupa Pudasaini
1 Atwell Rd, Cooperstown, NY 13326 · (607) 547-3456