Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY R PETERSEN, MD
ActiveJERRY R PETERSEN, MD is a Family Medicine healthcare provider located in SPRING PARK, Minnesota. NPI 1467451344 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SPRING PARK, MN
Registration Details
- NPI Number
- 1467451344
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2005 (21.078765270714 yrs)
- Last Updated
- May 12, 2008
- License
-
20372 (MN)
Practice Information
- Address
-
4695 SHORELINE DRSPRING PARK, MN, 553849715Browse MN providers · Browse ZIP 55384
- Phone
- 9524427890
- Fax
- 9524427893
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SPRING PARK, MN
| Name | Credential | NPI |
|---|---|---|
| MARY MOE TRITES | MD | 1912906017 |
| SHEILA N SEATS | MD | 1457350324 |
| STEVEN JAY NERHEIM | M.D. | 1255351342 |
| DR. JULIE A DEJONG | M.D. | 1023277837 |
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.