Whalio Doctors

NPI 1003342130

Abigail Ellen Peterson, MD

Practitioner Internal Medicine Physician Saint Paul, MN

Practice location

Address
640 Jackson St, Saint Paul, MN 55101-2502
Phone
(651) 254-3456
Mailing address
8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Registered specialties (2)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 67327 (MN)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1003342130
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 May 2017
Record last updated
20 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.