IndividualActive
Antonique Peterson, DO
NPI 1700377124 · General Practice Physician · Minneapolis, MN
Provider details
- NPI number
- 1700377124
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1313 Penn Ave N
Minneapolis, MN 55411-3047
Phone: (612) 543-2500
Approximate (ZIP-level) locationGet directions
Mailing address
1313 Penn Ave N
Minneapolis, MN 55411-3047
Registry dates
- Enumerated
- 2018-05-21
- Last updated
- 2021-10-27
- Certified
- 2021-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.