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

Mrs. Antonique Peterson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700377124

Mrs. Antonique Peterson, DO is a Family Practice in Minneapolis, Minnesota. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2018, 8 years ago. Practices with Emory Physicians Group, LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
MN
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1313 Penn Ave N
Minneapolis, MN 55411-3047
Phone: (612) 543-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 69440 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700377124
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 21, 2018
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2018 (8 years in practice)
Group practice Emory Physicians Group, Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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