Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

David P Petersen, MD

Surgery of the Hand (Surgery) Physician in Grand Rapids, MI · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558353540

Verified

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Registry record

Entity type Individual (Type 1)

Name David P Petersen

Credential MD

Sex Male

Practice address 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI, 49525

Phone (616) 957-4263

Fax (616) 957-0444

Enumeration date Aug 17, 2005

Last updated in NPPES Apr 24, 2008

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 4301039798 (MI) Secondary

2086S0105X Surgery of the Hand (Surgery) Physician Allopathic & Osteopathic Physicians · License 4301039798 (MI) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
4096458	Medicaid	MI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for David Petersen?

The National Provider Identifier (NPI) for David Petersen is 1558353540, a Type 1 (individual) record in the CMS NPPES registry.

Where does David Petersen practice?

The practice location on file with NPPES is in Grand Rapids, MI. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-24.