MEDICARE: DR. PETER HARPER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	29753	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2299000	OTHER	MN	ARAZ
3	01-19272	OTHER	MN	MEDICA CHOICE & PRIMARY
4	HP10560	OTHER	MN	HEALTHPARTNERS
5	1018823	OTHER	MN	PREFERRED ONE
6	102637	OTHER	MN	UCARE

General Provider Information

NPI Number	:	1275567778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER HARPER M.D.

Provider Business Mailing Address
First Line	:	2020 E 28TH ST
Second Line	:	SMILEY'S CLINIC
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1394
Country	:	US
Telephone Number	:	612-333-0770
Fax Number	:	612-333-0475

Provider Business Practice Location Address
First Line	:	2020 E 28TH ST
Second Line	:	SMILEY'S CLINIC
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1394
Country	:	US
Telephone Number	:	612-333-0770
Fax Number	:	612-333-0475

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	11/18/2011

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Directions to “ DR. PETER HARPER M.D.” Practice Location

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