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

TAMMY HARTNETT PETERSON, OD

Active

TAMMY HARTNETT PETERSON, OD is a Optometrist healthcare provider located in COON RAPIDS, Minnesota. NPI 1366404386 is currently active in the NPPES registry. Verify at CMS.

Optometrist · COON RAPIDS, MN

Registration Details

NPI Number
1366404386
Provider Type
Individual
Gender
Female
NPI Issued
Apr 5, 2006 (20.322741283657 yrs)
Last Updated
Oct 19, 2011
Licenses
1959 (MN)
1961-035 (WI)

Practice Information

Address
9055 SPRINGBROOK DR NW
COON RAPIDS, MN, 554335841
Browse MN providers · Browse ZIP 55433
Phone
7637809155
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in COON RAPIDS, MN

Name Credential NPI
ROBERT DODGE O.D. 1164424370
JAMES CONRAD VERKUILEN OD 1235191784
DR. BRIDGET C AXELSON O.D. 1073542767
TIMOTHY EGGIMANN OD 1922038926
DR. KARA DURICK JOHNSON OD 1710079892
DR. JESSICA CHIYOKO FEDOR O.D. 1801980537
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.