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NPI 1104786532

IndividualActive

Marcus Peterson, CGC

NPI 1104786532 · Genetic Counselor (M.S.) · St. Louis Park, MN

Provider details

NPI number: 1104786532
Entity type: Individual
Primary specialty: Genetic Counselor (M.S.)Other Service Providers
Credential: CGC
Sole proprietor: No
License: 1748 (MN)

Practice location

3931 Louisiana Ave S

St. Louis Park, MN 55426-4702

Phone: (952) 993-3230

Fax: (952) 993-1748

More MN providers

Mailing address

8170 33rd Ave S

Bloomington, MN 55425-4516

Registry dates

Enumerated: 2025-11-17
Last updated: 2025-11-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Marcus Peterson, CGC — NPI 1104786532, St. Louis Park, MN | NPI Central