Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew Petersen, PA-C

Individual provider Physician Assistant · NPI 1316346307

Andrew Petersen, PA-C is a Physician Assistant in Mankato, Minnesota. Works from 2 locations. Licensed in Iowa and Minnesota.

Licensed in
IA, MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1025 Marsh St
Mankato, MN 56001
Phone: (507) 625-4031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 E University Ave, Des Moines, IA 50316-2302 — (515) 263-5120

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11969 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 074607 (IA)

Record details

NPI number1316346307
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 15, 2014
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 18, 2020
Mailing address1025 Marsh St, Mankato, MN 56001-4752

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