Individual provider · Type 1 NPI
Richard Alvin Peterson, MD
Neurology Physician · St. Paul, MN
NPI number
1699717561
Active
Practice location
640 Jackson St
St. Paul, MN 55101-2502
Fax (763) 302-4081
Mailing address
8170 33rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 47556 (MN) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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About NPI 1699717561
Richard Alvin Peterson, MD's National Provider Identifier is 1699717561, issued on Jun 12, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in St. Paul, MN. The record was last updated on Feb 24, 2021.