Individual
DR. RICHARD ALVIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
47556
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01N64PE
BCBS OF MN
MN
01
—
0500505
MEDICA
MN
01
—
1043493
PREFERRED ONE
MN
01
—
132846C029
UCARE
MN
01
—
2350907
AAMERICA'S PPO
MN
05
—
236934600
—
MN
05
—
34640200
—
WI
01
—
HP51315
HEALTHPARTNERS
MN
01
—
P00225563
RAILROAD MEDICARE
MN
Enumeration date
06/12/2006
Last updated
02/24/2021
Update your record
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