Dr. Matthew Jon Peterson, MD
Urology in Alexandria, MN. Individual provider (NPI-1).
NPI number1164041505
StatusActive
Last updated in NPPESAug 29, 2025
Details
- NPI
- 1164041505
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Jon Peterson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2020
- Certification date
- Aug 26, 2025
- Last updated
- Aug 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 79148 | MN | Yes |
Practice location
111 17th Ave EAlexandria, MN 56308-5273
Phone 320-763-2707 · Fax 320-763-7883
Mailing address
610 30th Ave WAlexandria, MN 56308-3426
Phone 320-763-2540 · Fax 320-763-5749
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Urology Physician providers in Alexandria, MN
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.