According to our database, the NPI number for Jerry R Petersen MD is 1467451344 and activated since 18 years ago. Jerry R Petersen MD is an individual provider who specializes in Family Medicine, and the primary practice location is 4695 Shoreline Dr, Spring Park, MN 55384. You can also contact Jerry R Petersen MD via telephone number is (952) 442-7890. Provider NPI information was last updated on 05/12/2008.

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Overview of Jerry R Petersen MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/21/2005
  • Last updated: 05/12/2008

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 20372
  • License State: MN

Provider Mailing Address

  • Address: 4695 Shoreline Dr
    Spring Park, MN 55384
  • Phone: 952-442-7890
  • Fax: 952-442-7893

Provider Practice Location

  • Address: 4695 Shoreline Dr
    Spring Park, MN 55384
  • Phone: 952-442-7890
  • Fax: 952-442-7893

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 20372
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 5093724700
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MO
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jerry R Petersen MD?
  • A: The npi number for Jerry R Petersen MD is 1467451344.
  • Q: What are Jerry R Petersen MD's specialties?
  • A: Jerry R Petersen MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Jerry R Petersen MD?
  • A: The medical license number for Jerry R Petersen MD is 20372 and issued in MN in USA.
  • Q: Where is Jerry R Petersen MD practice location?
  • A: Jerry R Petersen MD is practicing at 4695 Shoreline Dr, Spring Park, MN 55384.
  • Q: How to contact Jerry R Petersen MD?
  • A: You can contact Jerry R Petersen MD via 952-442-7890.