IndividualActive
Allison Petersen, PA
NPI 1932336864 · Sports Medicine (Orthopaedic Surgery) Physician · Edina, MN
Provider details
- NPI number
- 1932336864
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 11606 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8100 W 78th St Ste 230
Edina, MN 55439-2570
Phone: (952) 946-9777
Fax: (952) 946-9888
Approximate (ZIP-level) locationGet directions
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Registry dates
- Enumerated
- 2009-06-18
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.