Mario Cesar Petersen
MD | Pediatric Neurodevelopmental Disabilities | Male
Mario Cesar Petersen, MD is a Grand Rapids, Michigan based Pediatric doctor with medical specialization in
Pediatric Neurodevelopmental Disabilities.
Current practice location of Mario Cesar Petersen is
35 Michigan St Ne Ste 3003, Grand Rapids, Michigan - 49503-2528. He can be contacted on phone at
616-267-2009.
Mario Cesar Petersen is a sole proprietor of his business.
NPI number (Unique professional ID) for Mario Cesar Petersen is
1760490239 which was assigned by NPPES on 03 Aug, 2006 and it was last updated on 25 Feb, 2021.
Mario Cesar Petersen license number is
4301116723 for Pediatrics Neurodevelopmental Disabilities (2080P0008X) in Michigan.
Mario Cesar Petersen treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Complete Profile:
Mario Cesar Petersen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neurodevelopmental Disabilities |
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| Provider Name : | Mario Cesar Petersen |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Mario Cesar Petersen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 35 Michigan St Ne Ste 3003
Grand Rapids, MI, 49503-2528
United States |
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| Phone Number : | 616-267-2009 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1760490239 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Aug, 2006 |
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| Last Updated On : | 25 Feb, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mario Cesar Petersen are as mentioned. Primary taxonomy code for Mario Cesar Petersen, MD is
2080P0008X (Pediatrics Neurodevelopmental Disabilities).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | No | 4301116723 | MI |
| 2080P0008X | Pediatrics Neurodevelopmental Disabilities | Yes | 4301116723 | MI |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | mpetersen245043@epic00.shdirect.org
| No affiliation |
|
| 35 MICHIGAN ST NE STE 3003,
GRAND RAPIDS, MI, 49503-2528
United States |
FHIR
(FHIR URL) | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
| No affiliation |
|
| 35 MICHIGAN ST NE STE 3003,
GRAND RAPIDS, MI, 49503-2528
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 Michigan St Ne # Mc845
Grand Rapids, MI, 49503-2560
United States |
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Business Location:
Patients can refer following map for directions to
Mario Cesar Petersen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.