Individual
RYAN M. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 529-6600
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1588
MN
367500000X
Certified Registered Nurse Anesthetist
283516
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
R1510560
MN
Other
Enumeration date
05/14/2007
Last updated
02/08/2023
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