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Randy J Peterson, MD
Family Medicine Physician in Alexandria, Minnesota
NPI 1235109430

Randy J Peterson is a Family Medicine Physician based in Alexandria, MN. Randy J Peterson practices in Alexandria, MN and has the professional credentials of MD. The NPI Number for Randy J Peterson is 1235109430 and holds a License No. 32212 (Minnesota).

The current practice location address for Randy J Peterson is 1527 Broadway St, Alexandria, MN and can be reached out via phone at 320-762-0399 and via fax at 320-762-6847.

Location: 1527 Broadway St, Alexandria, MN, 56308-2537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235109430
Provider Name
Randy J Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1527 Broadway St, Alexandria, MN, 56308-2537
Phone Number
320-762-0399
Fax Number
320-762-6847
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107120D277 01 MN UCARE
33Y08PE 01 MN BLUE SHIELD
HP27225 01 MN HEALTH PARTNERS
0104802 01 MN MEDICA
1006215 01 MN PREFERRED ONE
687892000 05 MN
A006 01 MN CHAMPUS
21468 01 MN AMERICA'S PPO
institution
Provider Business Practice Location Address Details
Address
1527 Broadway St
City
Alexandria
State
Minnesota
Zip
56308-2537
Phone Number
320-762-0399
Fax Number
320-762-6847
person
Provider Business Mailing Address Details
Address
1527 Broadway St
City
Alexandria
State
Minnesota
Zip
56308-2537
Phone Number
320-762-0399
Fax Number
320-762-6847
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
32212 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
32212 (Minnesota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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