IndividualActive
Anne Petersen, M.D.
NPI 1114968435 · Surgery Physician · Columbia, MO
Provider details
- NPI number
- 1114968435
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2006010643 (MO)
Practice location
1601 E Broadway
Ste 240
Columbia, MO 65201-8020
Phone: (573) 815-8145
Fax: (573) 815-3832
Mailing address
670 Mason Ridge Center Dr
Saint Louis, MO 63141-8573
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2017-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.