MEDICARE: PETER NATHANIEL TOENSING MD

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	207R00000X	Internal Medicine Physician	40827	MN

General Provider Information

NPI Number	:	1841258688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER NATHANIEL TOENSING MD

Provider Business Mailing Address
First Line	:	7236 1ST AVE S
Second Line	:
City	:	RICHFIELD
State	:	MN
Zip	:	55423-3107
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1440 DUCKWOOD DR
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55122-1451
Country	:	US
Telephone Number	:	651-688-7860
Fax Number	:

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

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	07/08/2007

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