Tyler James Peterson (NPI# 1780042036, PAC ID# 1355649591) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1780042036 |
| PAC ID by PECOS | 1355649591 |
| Professional Enrollment ID | I20160421000212 |
| Full Name | Tyler James Peterson |
| Address |
8470 City Centre Dr Suite D Woodbury MN 55125-3356 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 2015 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 8470 City Centre Dr, Suite D, Woodbury, MN 55125-3356 |
| Street Address |
8470 CITY CENTRE DR SUITE D |
| City | WOODBURY |
| State | MN |
| Zip | 55125-3356 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kassia E Coleman | Clinical Social Worker | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Elvis T Starllone | Nurse Practitioner | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Dasherline Cox Johnson | Psychologist, Clinical | 6043 Hudson Rd, Suite 355, Woodbury, MN 55125-1017 | |
| Rosella Collins Puoch | Clinical Social Worker | 6043 Hudson Rd, Woodbury, MN 55125-1020 | |
| Kaitlin D Buckner | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Rebekah J Wilson | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Victoria M Elmer | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Shelley R Stepan | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Richard P Lamon | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Kelly J Adams | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Find all physicians in zip 55125 | |||
| City | WOODBURY |
| Zip Code | 55125 |
| Specialty | CHIROPRACTIC |
| City + Specialty | WOODBURY + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.