DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ERIK JORDAN PETERSON, MD

Active

DR. ERIK JORDAN PETERSON, MD is a Orthopaedic Surgery healthcare provider located in WYOMING, Minnesota. NPI 1174766505 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · WYOMING, MN

Registration Details

NPI Number
1174766505
Provider Type
Individual
Gender
Male
NPI Issued
Apr 15, 2009 (17.360116002515 yrs)
Last Updated
Jan 6, 2021
Licenses
62173-20 (WI)
57620 (MN)

Practice Information

Address
5130 FAIRVIEW BLVD STE 100
WYOMING, MN, 550928050
Browse MN providers · Browse ZIP 55092
Phone
6514398807
Fax
6514390232
Primary Specialty
Orthopaedic Surgery
207X00000X
Additional Specialty
Orthopaedic Surgery

Other Orthopaedic Surgery Providers in WYOMING, MN

Name Credential NPI
DR. JEFFREY D LEY M.D. 1720036619
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.