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Individual

DR. MATTHEW JON PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 763-2707
(320) 763-7883
Mailing address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-2540
(320) 763-5749

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
79148
MN

Other

Enumeration date
04/15/2020
Last updated
08/29/2025
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