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Individual

RICHARD TODD PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 HUNDERTMARK RD STE 205N, CHASKA, MN 55318-1586
(952) 903-1350
(952) 426-3856
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
53964
MN

Other

Enumeration date
01/04/2008
Last updated
09/14/2020
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