Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDOLPH K. PETERSON, M.D.
ActiveDR. RANDOLPH K. PETERSON, M.D. is a Anatomic Pathology & Clinical Pathology healthcare provider located in EDINA, Minnesota. NPI 1053380204 is currently active in the NPPES registry. Verify at CMS.
Anatomic Pathology & Clinical Pathology · EDINA, MN
Registration Details
- NPI Number
- 1053380204
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2006 (20.444765019061 yrs)
- Last Updated
- Nov 10, 2015
- License
-
40788 (MN)
Practice Information
- Address
-
6525 FRANCE AVE SSUITE 200EDINA, MN, 554352148Browse MN providers · Browse ZIP 55435
- Phone
- 9529276501
- Fax
- 9526531435
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
Other Anatomic Pathology & Clinical Pathology Providers in EDINA, MN
| Name | Credential | NPI |
|---|---|---|
| SHANNON WELTER | MD | 1386873958 |
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.