Jonathan Peterson, M.D.
in Wabasha, MN. Individual provider (NPI-1).
NPI number1003882010
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1003882010
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Peterson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0805X | 33320 | MN | Yes |
Practice location
1200 Grant Blvd WWabasha, MN 55981-1042
Phone 651-565-5908 · Fax 651-565-5910
Mailing address
1200 Grant Blvd WWabasha, MN 55981-1042
Phone 651-565-5908 · Fax 651-565-5910
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