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

Dr. Paul H Peterson, DPM

Individual provider Podiatrist · NPI 1083902126

Dr. Paul H Peterson, DPM is a Podiatry in Blaine, Minnesota. Qualified in 2011, 15 years ago. Practices with North Memorial Health Care, a 506-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2011
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1420 109th Ave NE Ste 100
Blaine, MN 55449-3603
Phone: (763) 581-5880
Fax: (763) 581-5551
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 912 (MN)

Record details

NPI number1083902126
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 11, 2011
Last updated in NPPESDecember 17, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice North Memorial Health Care — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare