Individual provider · Type 1 NPI

Antonique Peterson, DO

General Practice Physician · Minneapolis, MN

NPI number 1700377124 Active

Practice location

1313 Penn Ave N
Minneapolis, MN 55411-3047

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Physician Primary 208D00000X69440 (MN)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1700377124

Antonique Peterson, DO's National Provider Identifier is 1700377124, issued on May 21, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 27, 2021.