Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER VASCONCELLOS, DO
Active Sole ProprietorDR. PETER VASCONCELLOS, DO is a Family Medicine healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1750359915 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRAND RAPIDS, MN
Registration Details
- NPI Number
- 1750359915
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2006 (20.421102440274 yrs)
- Last Updated
- Dec 9, 2025
- Licenses
-
N9792 (TX)3288 (IA)77374 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1601 GOLF COURSE RDGRAND RAPIDS, MN, 557448648Browse MN providers · Browse ZIP 55744
- Phone
- 2183263401
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in GRAND RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| DR. JACK VICTOR CARLISLE | MD | 1326023060 |
| DR. PATRICIA C. CARLIN-JANSSEN | MD | 1033195805 |
| DR. CATHY J. CLEARY | MD | 1811973670 |
| DR. EDWIN A. ANDERSON | MD | 1083691828 |
| DR. CARY R. COLE-ANTHONY | MD | 1437136090 |
| DR. SCOTT GERLING | MD | 1912984550 |
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.