Individual
BRADLEY MICHAEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
2556 YELLOWSTONE DR, HASTINGS, MN 55033-3751
(651) 263-4005
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
767673
MN
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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