IndividualActive
Jon Peterson, DPM
NPI 1508832676 · Podiatrist · Staples, MN
Provider details
- NPI number
- 1508832676
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 513 (MN)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
49725 County 83
Staples, MN 56479-5280
Phone: (218) 894-1515
Fax: (218) 894-8767
Approximate (ZIP-level) locationGet directions
Mailing address
49725 County 83
Staples, MN 56479-5280
Registry dates
- Enumerated
- 2006-02-27
- Last updated
- 2024-02-22
- Certified
- 2024-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.