Individual provider · Type 1 NPI

Robert G. Petersen Jr., PARAMEDIC

Paramedic · West St. Paul, MN

NPI number 1174427447 Active

Practice location

1139 Kruse St
West St. Paul, MN 55118-2506

Specialties and licenses

TaxonomyCodeLicense
Paramedic Primary 146L00000XM5193303 (MN)

Paramedic: An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.

About NPI 1174427447

Robert G. Petersen Jr., PARAMEDIC's National Provider Identifier is 1174427447, issued on Oct 7, 2026. The primary taxonomy on file is Paramedic (146L00000X), and the practice location is in West St. Paul, MN. The record was last updated on Oct 7, 2026.