Individual
DR. THOMAS ANDREW PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 11TH AVE, TWO HARBORS, MN 55616-1300
(218) 834-7727
(218) 834-7727
Mailing address
325 11TH AVE, TWO HARBORS, MN 55616-1300
(218) 834-7727
(218) 834-7727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31686
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097792600
—
MN
Enumeration date
07/11/2006
Last updated
10/01/2021
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