Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY A PETERSON, MD
ActiveTIMOTHY A PETERSON, MD is a 2083A0300X healthcare provider located in GRAND FORKS, North Dakota. NPI 1134211568 is currently active in the NPPES registry. Verify at CMS.
2083A0300X · GRAND FORKS, ND
Registration Details
- NPI Number
- 1134211568
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2006 (19.915607844006 yrs)
- Last Updated
- Jan 21, 2026
- Licenses
-
7777 (ND)7777 (ND)7777 (ND)
Practice Information
- Address
-
3674 S WASHINGTON STGRAND FORKS, ND, 582015766Browse ND providers · Browse ZIP 58201
- Phone
- 7012053000
- Fax
- 7017322501
- Primary Specialty
-
2083A0300X
2083A0300X
- Additional Specialty
- 2083A0300X
- Additional Specialty
- Family Medicine
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.