SearchMinnesota152W00000X

Joel Peterson, OD

NPI 1902459530 · on the registry since 2019

Practice

Address
3042 Hennepin Ave
Minneapolis, MN 55408
Phone
(612) 822-1090
Organisation at this address
Family Eyecare Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-08

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