Search › Minnesota › 2084V0102X
Paul Peterson, MD
NPI 1902805518 · on the registry since 2005
Practice
- Address
- 1200 6th Ave N
Saint Cloud, MN 56303 - Phone
- (320) 255-7891
- Fax
- (320) 255-5882
- Organisation at this address
- Centracare Clinic
Centracare ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 213
Registry record
- Primary taxonomy
- 2084V0102X
2084V0102X
- Also registered as
- 207P00000X
2084S0012X
2084V0102X - Licence states on file
- NC, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-23
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