Individual provider · Type 1 NPI

Theodore Vincent Peterson, MD, PhD

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1922741701 Active

Practice location

420 Delaware Street SE, Mmc 292
Minneapolis, MN 55455

Call (612) 625-6916 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2 other providers at this address

Other student in an organized health care education/training program providers in Minneapolis

See all in Minneapolis →

About NPI 1922741701

Theodore Vincent Peterson, MD, PhD's National Provider Identifier is 1922741701, issued on Apr 19, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 8, 2023.