Individual
TERRI L PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 E 28TH ST, SUITE 1750, MINNEAPOLIS, MN 55407-3723
(612) 863-4495
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
44051
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15830
AVERA
MN
05
—
171903
—
MN
01
—
23-00464
MEDICA
MN
01
—
519P3PE
BCBS
MN
01
—
52106
SIOUX VALLEY
MN
05
—
723049
—
IA
05
—
732638600
—
MN
01
—
B059
CHAMPUS
MN
01
—
F68188
ARAZ
MN
01
—
HP61594
HEALTH PARTNERS
MN
01
—
MH9041047407
PREFERRED ONE
MN
Enumeration date
02/10/2006
Last updated
11/10/2020
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