Randolph K. Peterson M.D.

NPI 1053380204 - Pathology - 207ZP0102X

NPI Details
NPI 1053380204
Gender Male
Enumeration Date 03/17/2006
Last Updated 11/10/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
6525 FRANCE AVE S
SUITE 200
EDINA MN, 55435-2148, US
Phone (952) 927-6501
Fax (952) 653-1435
Business Location
6525 FRANCE AVE S
SUITE 200
EDINA MN, 55435-2148, US
Phone (952) 927-6501
Fax (952) 653-1435
Toxanomy
Taxonomy Code 207ZP0102X
License State Minnesota
License Number 40788
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According to our database, Dr. Randolph K. Peterson M.D. NPI is 1053380204, taxonomy code is 207ZP0102X and license number is 40788, license state is located at Minnesota. Randolph K. Peterson M.D. physically located at 6525 France Ave S, Edina MN, 55435-2148. NPI Number Randolph K. Peterson M.D. has the Individual type.

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1053380204 NPI number is provided on an as is basis without warranty of any kind. 1053380204 is maintained by the National Plan & Provider Enumeration System. The contents of Randolph K. Peterson M.D. are for informational purposes only.