DR. MICHAEL PETERSEN DVM NPI 1740602960

NPI Information

NPI: 1740602960
Provider Name: DR. MICHAEL PETERSEN, DVM
Classification: Veterinarian - 174M00000X
Entity Type: Individual
Address:
5754 NICOLLET AVE
MINNEAPOLIS, MN
ZIP 55419
Phone: (612) 866-7103
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DR. Michael Petersen, DVM is a veterinarian in Minneapolis, MN. The provider is a doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. DR. Michael Petersen, DVM NPI is 1740602960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5754 NICOLLET AVE
MINNEAPOLIS, MN
ZIP 55419-415
Phone: (612) 866-7103
Fax: (612) 866-0250

The enumeration date for this NPI number is 1/7/2014 and was last updated on 1/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174M00000X	Veterinarian		04212	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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