Randolph K Peterson (NPI# 1053380204, PAC ID# 2961566096) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1053380204 |
| PAC ID by PECOS | 2961566096 |
| Professional Enrollment ID | I20090204000093 |
| Full Name | Randolph K Peterson |
| Organization Legal Name | MINNESOTA UROLOGY PA |
| Address |
6525 France Ave S Suite 208 Edina MN 55435-2148 |
| Phone Number | 9529276501 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1993 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 0840183984 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6525 France Ave S, Suite 208, Edina, MN 55435-2148 | 9529276501 | MINNESOTA UROLOGY PA |
| Organization Legal Name | MINNESOTA UROLOGY PA |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Thomas Mahon | Urology | Minnesota Urology Pa | 7500 France Ave S, Edina, MN 55435-3400 |
| Maisy M Sanneman | Physician Assistant | Minnesota Urology Pa | 360 Sherman St, Suite 450, Saint Paul, MN 55102-2562 |
| Maxine Rae Gustafson | Physician Assistant | Minnesota Urology Pa | 360 Sherman St, Suite 450, Saint Paul, MN 55102-2562 |
| Maria Teresa Chmielewski | Certified Clinical Nurse Specialist (cns) | Minnesota Urology Pa | 2945 Hazelwood St, Suite 220, Maplewood, MN 55109-1241 |
| Peter D Sershon | Urology | Minnesota Urology Pa | 360 Sherman St, Suite 450, Saint Paul, MN 55102-2562 |
| William J Utz | Urology | Minnesota Urology Pa | 6525 France Ave S, Suite 208, Edina, MN 55435-2148 |
| Hoo Yin Wong | Urology | Minnesota Urology Pa | 500 Osborne Rd Ne, Suite 120, Fridley, MN 55432-2767 |
| Todd Daniel Fleming | Urology | Minnesota Urology Pa | 911 Northland Dr, Princeton, MN 55371-2172 |
| Tyler John Back | Physician Assistant | Minnesota Urology Pa | 360 Sherman St, Suite 450, Saint Paul, MN 55102-2562 |
| Paul T Fadden | Urology | Minnesota Urology Pa | 6525 France Ave S, Suite 208, Edina, MN 55435-2148 |
| Street Address |
6525 FRANCE AVE S SUITE 208 |
| City | EDINA |
| State | MN |
| Zip | 55435-2148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Wilke | Plastic and Reconstructive Surgery | Edina Plastic Surgery | 6525 France Ave S, Suite 300, Edina, MN 55435-2177 |
| William J Utz | Urology | Minnesota Urology Pa | 6525 France Ave S, Suite 208, Edina, MN 55435-2148 |
| Paul T Fadden | Urology | Minnesota Urology Pa | 6525 France Ave S, Suite 208, Edina, MN 55435-2148 |
| Chase K Sovell | Urology | Minnesota Urology Pa | 6525 France Ave S, Suite 208, Edina, MN 55435-2148 |
| Erin A Collins | Obstetrics/gynecology | Fairview Health Services | 6525 France Ave S, Edina, MN 55435-2148 |
| Anna S Masters | Obstetrics/gynecology | Fairview Health Services | 6525 France Ave S, Edina, MN 55435-2148 |
| Mary C Homan | Family Medicine | Fairview Health Services | 6525 France Ave S, Edina, MN 55435-2148 |
| Maria A Cremer | Obstetrics/gynecology | Fairview Health Services | 6525 France Ave S, Edina, MN 55435-2148 |
| Martin L Immerman | Obstetrics/gynecology | Fairview Health Services | 6525 France Ave S, Edina, MN 55435-2148 |
| Matthew R Braasch | Urology | Minnesota Urology Pa | 6525 France Ave S, Suite 208, Edina, MN 55435-2148 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan F Hunt | Orthopedic Surgery | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Laura Loeding Bechtold | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Bonnie L Glenzinski | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Kimberly Lynn Mcclintick | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Susan E Anderson | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Julie A Stauffer | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Meredith N Butulis | Physical Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Breanna N Smith | Physical Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| David Gesensway | Hand Surgery | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Christopher M Larson | Orthopedic Surgery | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Find all physicians in zip 55435 | |||
| City | EDINA |
| Zip Code | 55435 |
| Specialty | PATHOLOGY |
| City + Specialty | EDINA + PATHOLOGY |
Please comment or provide details below to improve the information on Randolph K Peterson.
| 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.