Individual
ERIK JON PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, PWB SIXTH FLOOR, CLINIC 6A, MINNEAPOLIS, MN 55455-0356
(612) 625-8690
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MINNEAPOLIS, MN 55455
(612) 625-8690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45093
MN
207RR0500X
Rheumatology Physician
Primary
45093
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090883500
—
MN
01
—
1031720
PREFERRED ONE
MN
01
—
142412
UCARE
MN
01
—
1686374
ARAZ
MN
01
—
244A6PE
BLUE CROSS BLUE SHIELD
MN
01
—
32-00003
MEDICA PRIMARY
MN
01
—
32-00093
MEDICA CHOICE
MN
05
—
34260300
—
WI
01
—
HP39455
HEALTH PARTNERS
MN
Enumeration date
10/24/2006
Last updated
10/26/2012
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