Individual
PETER A BRETZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 MINNESOTA DR. SUITE 310, EDINA, MN 55435-1421
(952) 929-5600
Mailing address
3500 AMERICAN BLVD W SUITE 300, BLOOMINGTON, MN 55431-4442
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
38119
MN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
38119
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
548017500
—
MN
Enumeration date
01/06/2006
Last updated
05/23/2024
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