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

MRS. ANTONIQUE PETERSON, DO

Active

MRS. ANTONIQUE PETERSON, DO is a General Practice healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1700377124 is currently active in the NPPES registry. Verify at CMS.

General Practice · MINNEAPOLIS, MN

Registration Details

NPI Number
1700377124
Provider Type
Individual
Gender
Female
NPI Issued
May 21, 2018 (8.2050933842584 yrs)
Last Updated
Oct 27, 2021
License
69440 (MN)

Practice Information

Address
1313 PENN AVE N
MINNEAPOLIS, MN, 554113047
Browse MN providers · Browse ZIP 55411
Phone
6125432500
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice

Other General Practice Providers in MINNEAPOLIS, MN

Name Credential NPI
MARTA TOCHACEK M.D. 1992776900
TERESA VRABEL SONIER MD 1760420129
PETER F WEISSMANN MD 1679515712
CATHERINE A DEMOSS D.O., MPH 1023109659
DR. GLEN JOSEPH BOOTH M.D. 1083740393
KENNETH REED MCMILLAN MD 1083734826
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.