Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY JOHN PETERSON, MD
Active Sole ProprietorJEREMY JOHN PETERSON, MD is a Family Medicine healthcare provider located in PRINCETON, Minnesota. NPI 1043413214 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PRINCETON, MN
Registration Details
- NPI Number
- 1043413214
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2007 (19.195664520903 yrs)
- Last Updated
- Jan 11, 2010
- License
-
49834 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
919 NORTHLAND DRPRINCETON, MN, 553712172Browse MN providers · Browse ZIP 55371
- Phone
- 7633893344
- Fax
- 7633896221
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PRINCETON, MN
| Name | Credential | NPI |
|---|---|---|
| VUI VAN MAI | M.D. | 1588631386 |
| DAVID A WALETZKO | MD | 1851342745 |
| THOMAS J BLANKENSHIP | MD | 1487606091 |
| BENSEN Y LEO | MD | 1831141449 |
| THEODORE P VANERP | MD | 1013969633 |
| ARTHUR RANDAL OLSON | MD | 1811949787 |
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.