location
search-icon
person
Jerry R Petersen, MD
Family Medicine Physician in Spring Park, Minnesota
NPI 1467451344

Jerry R Petersen is a Family Medicine Physician based in Spring Park, MN. Jerry R Petersen practices in Spring Park, MN and has the professional credentials of MD. The NPI Number for Jerry R Petersen is 1467451344 and holds a License No. 20372 (Minnesota).

The current practice location address for Jerry R Petersen is 4695 Shoreline Dr, Spring Park, MN and can be reached out via phone at 952-442-7890 and via fax at 952-442-7893.

Location: 4695 Shoreline Dr, Spring Park, MN, 55384-9715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467451344
Provider Name
Jerry R Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4695 Shoreline Dr, Spring Park, MN, 55384-9715
Phone Number
952-442-7890
Fax Number
952-442-7893
Provider Enumeration Date
07/21/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
20372 01 MN MEDICAL LICENSE
5093724700 05 MO
institution
Provider Business Practice Location Address Details
Address
4695 Shoreline Dr
City
Spring Park
State
Minnesota
Zip
55384-9715
Phone Number
952-442-7890
Fax Number
952-442-7893
person
Provider Business Mailing Address Details
Address
4695 Shoreline Dr
City
Spring Park
State
Minnesota
Zip
55384-9715
Phone Number
952-442-7890
Fax Number
952-442-7893
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
20372 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.