Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Warren Peterson, DO

Individual provider Dermatology Physician · NPI 1770634909

Dr. Michael Warren Peterson, DO is a Dermatology in Spanish Fork, Utah. Qualified in 2000, 26 years ago. Practices with Arizona Desert Dermatology and Surgery PC, a 10-clinician group and accepts Medicare assignment. Licensed in Utah and Wisconsin.

Years since qualifying
26
Licensed in
UT, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

114 E 800 N
Spanish Fork, UT 84660
Phone: (801) 794-1490
Fax: (801) 794-1495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 7247463-1204 (UT)
Dermatology Physician Taxonomy 207N00000X · Licence 47784-021 (WI)

Record details

NPI number1770634909
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 15, 2007
Last updated in NPPESApril 13, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Arizona Desert Dermatology And Surgery Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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