Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL H PETERSON, DPM
ActiveDR. PAUL H PETERSON, DPM is a Podiatrist healthcare provider located in BLAINE, Minnesota. NPI 1083902126 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · BLAINE, MN
Registration Details
- NPI Number
- 1083902126
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2011 (15.121604259496 yrs)
- Last Updated
- Dec 17, 2014
- License
-
912 (MN)
Practice Information
- Address
-
1420 109TH AVE NE STE 100BLAINE, MN, 554493603Browse MN providers · Browse ZIP 55449
- Phone
- 7635815880
- Fax
- 7635815551
- Primary Specialty
-
Podiatrist
213E00000X
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.