Individual
DAVID PETERSON TETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 E 28TH ST, SUITE190, MINNEAPOLIS, MN 55407-1139
(612) 863-1893
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42365
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
617637200
—
MN
Enumeration date
03/24/2006
Last updated
10/13/2025
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