Whalio Doctors

NPI 1982952909

Ekaterina Peterson, PAC

Practitioner Physician Assistant Cottage Grove, MN

Practice location

Address
8611 W Point Douglas Rd S, Cottage Grove, MN 55016-4005
Phone
(651) 458-1884

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 11127 (MN)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 11127 (MN)

Registry record

NPI
1982952909
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Aug 2012
Record last updated
12 Mar 2021

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.