Most Relevant Information
Provider Data
| NPI Number: | 1003311770 |
| Provider Name: | PETER WILLIAM COLEMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 0068738 |
Most Important Dates
| Enumeration Date: | 03/26/2018 |
| Last Updated: | 08/07/2023 |
Provider Practice Location
14700 28TH AVE N STE 20
PLYMOUTH
MN
554474876
Practice Location Phone/Fax
| Phone: | 6355937797 |
| Fax: | 7634503986 |
Provider Mailing Location
14700 28TH AVE N STE 20
PLYMOUTH
MN
554474876
Provider Mailing Phone/Fax
| Phone: | 6355937797 |
| Fax: | 7634503986 |