Individual
EMILY SEGAR PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3123
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
62062
MN
208000000X
Pediatrics Physician
MD-43225
IA
208000000X
Pediatrics Physician
R9828
IA
Other
Enumeration date
06/17/2013
Last updated
03/10/2021
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