person
Emily C Peterson, PA-C
Surgical Physician Assistant in St Louis Park, Minnesota
NPI 1578979654

Emily C Peterson is a Surgical Physician Assistant based in Bloomington, MN and is specialized in Surgical. Emily C Peterson practices in St Louis Park, MN and has the professional credentials of PA-C. The NPI Number for Emily C Peterson is 1578979654 and holds a License No. 11667 (Minnesota).

The current practice location address for Emily C Peterson is 3931 Louisiana Ave S, St Louis Park, MN and can be reached out via phone at 952-993-3230 and via fax at 952-993-1748.

Location: 3931 Louisiana Ave S, St Louis Park, MN, 55425-4516
person
Provider Profile Details
NPI Number
1578979654
Provider Name
Emily C Peterson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3931 Louisiana Ave S, St Louis Park, MN, 55425-4516
Phone Number
952-993-3230
Fax Number
952-993-1748
Provider Enumeration Date
07/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3931 Louisiana Ave S
City
State
Zip
55426-5000
Phone Number
952-993-3230
Fax Number
952-993-1748
person
Provider Business Mailing Address Details
Address
3931 Louisiana Ave S
City
State
Zip
55426-5000
Phone Number
952-993-3230
Fax Number
952-993-1748
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
11667 (Minnesota)
Definition
Definition to come...
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