Whalio Doctors

NPI 1144333022

Jennifer M Peterson, MD

Practitioner Pediatrics Physician Grand Forks, ND

Practice location

Address
1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201
Phone
(701) 795-2000
Fax
(701) 780-1896
Mailing address
2401 Demers Ave, Grand Forks, ND 58201

Registered specialties (3)

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 12080 (ND)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 6615A (WY)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 41901 (MN)

Registry record

NPI
1144333022
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Aug 2006
Record last updated
28 Feb 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.