Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EARL JOEL PETERSON, M.D.
ActiveDR. EARL JOEL PETERSON, M.D. is a Occupational Medicine healthcare provider located in ROBBINSDALE, Minnesota. NPI 1386834984 is currently active in the NPPES registry. Verify at CMS.
Occupational Medicine · ROBBINSDALE, MN
Registration Details
- NPI Number
- 1386834984
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2007 (19.072457656298 yrs)
- Last Updated
- Oct 27, 2007
- Licenses
-
25889 (MN)25889 (MN)
Practice Information
- Address
-
4080 W BROADWAY AVESUITE 200ROBBINSDALE, MN, 554225604Browse MN providers · Browse ZIP 55422
- Phone
- 7635205551
- Fax
- 7635201734
- Primary Specialty
-
Occupational Medicine
2083X0100X
- Additional Specialty
- Occupational 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.