Dr Earl Joel Peterson, MD is a
Preventive Medicine - Occupational Medicine physician based in Robbinsdale, Minnesota. Dr Earl Joel Peterson is licensed to practice in Minnesota (license number 25889) and his current practice location is 4080 W Broadway Ave, Suite 200, Robbinsdale, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(763) 520-5551.
NPI number for Dr Earl Joel Peterson is 1386834984 and his current mailing address is 4080 W Broadway Ave, Suite 200, Robbinsdale, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386834984.
Physician's Profile
| Full Name | Dr Earl Joel Peterson |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 4080 W Broadway Ave, Robbinsdale, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386834984
- Provider Enumeration Date: 07/30/2007
- Last Update Date: 10/27/2007
Medical Identifiers
Medical identifiers for Dr Earl Joel Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386834984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 25889 (Minnesota) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 25889 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Earl Joel Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Earl Joel Peterson, MD
4080 W Broadway Ave, Suite 200,
Robbinsdale, MN 55422-5604
Ph: (763) 520-5551 | Dr Earl Joel Peterson, MD
4080 W Broadway Ave, Suite 200,
Robbinsdale, MN 55422-5604
Ph: (763) 520-5551 |
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