Whalio Doctors

NPI 1013399112

Breanna Peterson, DO

Practitioner Emergency Medicine Physician Princeton, MN

Practice location

Address
911 Northland Dr, Princeton, MN 55371
Phone
(763) 389-1313
Mailing address
400 Stinson Blvd, Minneapolis, MN 55413-2614

Registered specialties (3)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 66330 (MN)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 66330 (MN)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2015018606 (MO)

Registry record

NPI
1013399112
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Jun 2015
Record last updated
12 Sep 2019

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.