DR. Theodore Vincent Peterson, MD, PHD is a student in an organized health care education training program in Minneapolis, MN. The provider is 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. DR. Theodore Vincent Peterson, MD, PHD NPI is 1922741701. 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:
420 DELAWARE STREET SE, MMC 292
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 625-6916
The NPI 1922741701 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/19/2022 and was last updated on 6/8/2023.