ROBERT A PETERSON – Internal Medicine Physician, NPI 1629052774

ROBERT A PETERSON is a healthcare provider. based in St louis park, Minnesota. specializing in Internal Medicine Physician. They hold a License No. 20304 (MN). The NPI Number for ROBERT A PETERSON is 1629052774

Main info

Male
Name
ROBERT A PETERSON
NPI
1629052774
Phone
(952) 993-6450
Address
6465 WAYZATA BLVD
Enumeration Date
2 December 2005
Last Update Date
22 June 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ROBERT A PETERSON

  • Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    STE 315

    ST LOUIS PARK, MN 554261728

    Phone: (952) 993-6450

    Fax: (952) 993-0300

    Type: Mailing

  • 3850, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    PARK NICOLLET CLINIC-SLP

    ST LOUIS PARK, MN 55416

    Phone: (952) 993-5041

    Fax: (952) 993-1361

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55426)

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Reviews

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Frequently asked questions

Can I verify ROBERT A PETERSON with an NPI only?
You can start verification with NPI 1629052774 for ROBERT A PETERSON, then check state licensing separately.
Is ROBERT A PETERSON still practicing?
ROBERT A PETERSON is currently listed as active in the public NPI registry.
What is ROBERT A PETERSON best known for clinically?
Directory data describes ROBERT A PETERSON with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect ROBERT A PETERSON on a map?
Expect St Louis Park, Minnesota as a primary anchor for ROBERT A PETERSON unless the record lists multiple sites.
Why does ROBERT A PETERSON have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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