Tyler M Peterson, PA-C

NPI #1225726094 in Sartell, Minnesota

Provider Information

NPI Number: 1225726094
Entity Type: Individual
Name: Tyler M Peterson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 28, 2023
Last Updated: Jul 26, 2024

Practice Location

Address: 1901 CONNECTICUT AVE S
City: Sartell
State: Minnesota
ZIP Code: 56377-2554
Phone: (320) 259-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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