IndividualActive
Timothy Peterson, MD
NPI 1134211568 · Addiction Medicine (Preventive Medicine) Physician · Grand Forks, ND
Provider details
- NPI number
- 1134211568
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 7777 (ND)
Practice location
3674 S Washington St
Grand Forks, ND 58201-5766
Phone: (701) 205-3000
Fax: (701) 732-2501
Mailing address
Po Box 5210
Grand Forks, ND 58206-5210
Registry dates
- Enumerated
- 2006-09-30
- Last updated
- 2026-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.