Male or Other

Timoth Y J. Peterson

Critical Access Hospital in Breckenridge, MN(View on Map)

Full Name

Timoth Y John Peterson

NPI Number

1174668081

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/20/2007

Specialties

(Taxonomies)

Code

282NC0060X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

102006

Contact
Information

Purpose

Mailing
Location

Address

213 E CECIL AVE
ST. FRANCIS HEALTHCARE CAMPUS

City

Fergus Falls
Breckenridge

State

MN
MN

Postal Code

56537-1416
56520

Country

US
US

Telephone Number

(218) 736-3507
(218) 643-0345

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address