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

Jerome R Peterson, MD

Individual provider Emergency Medicine Physician · NPI 1336114966

Jerome R Peterson, MD is an Emergency Medicine Physician in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8450 Seasons Pkwy
Woodbury, MN 55125-4402
Phone: (612) 339-3663
Fax: (651) 702-5305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 19789 (MN)

Record details

NPI number1336114966
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESJuly 13, 2026

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