SearchMinnesota363A00000X

Tyler Peterson, PA-C

NPI 1225726094 · on the registry since 2023

Practice

Address
1901 Connecticut Ave S
Sartell, MN 56377
Phone
(320) 259-4100
Fax
(320) 257-5523
Organisation at this address
St. Cloud Orthopedic Associates, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
74

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
390200000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota