Male or Other

David Peterson MD

Emergency Medicine Physician in Minneapolis, MN(View on Map)

Full Name

David Peterson MD

NPI Number

1114010972

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/02/2006

Specialties

(Taxonomies)

Code

207P00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

29403

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 86
800 EAST 28TH STREET

City

Minneapolis
Minneapolis

State

MN
MN

Postal Code

55486-0910
55407

Country

US
US

Telephone Number

(612) 863-3547
(612) 863-3547

Identifiers

Identifier

274500300

Identifier State

MN

Identifier Issuer

Unknown

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

Data last updated by provider on 07/08/2007

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