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DAVID P PETERSEN MD
NPI 1558353540
Surgery - Surgery of the Hand in Grand Rapids, MI

Active since August 17, 2005
1111 LEFFINGWELL AVE NE, SUITE 200, GRAND RAPIDS, MI 49525(616) 957-4263(616) 957-0444 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About David P Petersen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID P PETERSEN MD (NPI 1558353540) is an individual surgery of the hand provider in Grand Rapids, Michigan, licensed in Michigan (4301039798) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1558353540
Entity TypeIndividualMale
Primary Taxonomy2086S0105X
Provider Legal NameDAVID P PETERSENCredential: MD
Location Address1111 LEFFINGWELL AVE NE, SUITE 200Grand Rapids, MI 49525-6406
Mailing Address1111 Leffingwell Ave Ne, Suite 200Grand Rapids, MI 49525-6406 · (616) 957-4263 · Fax (616) 957-0444
Phone(616) 957-4263
Fax(616) 957-0444
Sole ProprietorNo
Enumeration DateAugust 17, 2005
Last NPPES UpdateApril 24, 2008
✔ NPI 1558353540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
License✔ Licensed in MI · 4301039798
Definition

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedSurgeryTaxonomy 208600000X · License 4301039798 (MI)
1111 LEFFINGWELL AVE NE, Grand Rapids, MI 49525
Open in Google Maps ↗

Other Identifiers 3

Medicaid4096458MI
Medicare UPINE39585
Medicare PIN0D14869056MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE B WONG MD
Surgery (Surgery of the Hand)
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Kent County (616) 957-4263
DEAN J TORIELLO MD
Surgery (Surgery of the Hand)
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Kent County (616) 957-4263
PAMELA SUE ALBRECHT MSPT
Physical Therapist
1111 LEFFINGWELL AVE NE, SUITE 100
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
DR. CHARLES D BUKREY MD
Orthopaedic Surgery
1111 LEFFINGWELL AVE NE, SUITE 100
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
JANET APPLETON OTR
Occupational Therapist (Hand)
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Kent County (616) 956-1201
MS. SHELLY HENNINK DAVIS OTR
Occupational Therapist (Hand)
1111 LEFFINGWELL AVE NE, SUITE 210
GRAND RAPIDS, MI 49525
Kent County (616) 949-5061
MR. JOHN R OCONNOR PT
Physical Therapist
1111 LEFFINGWELL AVE NE, SUITE 300
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
LINDA E HUIZENGA PA
Physician Assistant
1111 LEFFINGWELL AVE NE, SUITE 100
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Petersen's NPI number?

The NPI number for David Petersen is 1558353540. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is David Petersen located?

David Petersen practices at 1111 Leffingwell Ave NE Suite 200, Grand Rapids, MI 49525. The listed phone number is (616) 957-4263.

What is David Petersen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

When was this NPI record last updated?

The NPPES record for David Petersen was last updated on April 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.