Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN PETERSON, M.D.
ActiveJONATHAN PETERSON, M.D. is a Geriatric Psychiatry healthcare provider located in WABASHA, Minnesota. NPI 1003882010 is currently active in the NPPES registry. Verify at CMS.
Geriatric Psychiatry · WABASHA, MN
Registration Details
- NPI Number
- 1003882010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2006 (20.466328178917 yrs)
- Last Updated
- Jul 8, 2007
- License
-
33320 (MN)
Practice Information
- Address
-
1200 GRANT BLVD WWABASHA, MN, 559811042Browse MN providers · Browse ZIP 55981
- Phone
- 6515655908
- Fax
- 6515655910
- Primary Specialty
-
Geriatric Psychiatry
2084P0805X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.