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
| Taxonomy | Code | License |
|---|---|---|
| Paramedic Primary | 146L00000X | M5193303 (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.