Individual provider · Type 1 NPI

Robert Peterson, CSFA

Surgical Assistant · Princeton, MN

NPI number 1124936018 Active

Practice location

911 Northland Dr
Princeton, MN 55371-2172

Call (612) 672-5000 Map

Mailing address

331 Wood St S
Mora, MN 55051-1452

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007X186235 (MN)

Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…

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About NPI 1124936018

Robert Peterson, CSFA's National Provider Identifier is 1124936018, issued on Aug 31, 2026. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Princeton, MN. The record was last updated on Sep 2, 2026.