Peterson, Robert A

Peterson, Robert A is an individual health care provider with primary practice located at 3850 Park Nicollet Blvd Park Nicollet Clinic-Slp, St Louis Park MN 55416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Peterson, Robert A can be contacted via phone (952) 993-5041.

Contact Information

Primary practice address
3850 Park Nicollet Blvd Park Nicollet Clinic-Slp St Louis Park MN 55416
Phone: (952) 993-5041
Fax: (952) 993-1361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20304 Minnesota

Profile Details

NPI number 1629052774
LBN Legal business name Peterson, Robert A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jun 22nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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