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

Peter Kirk Dahlstrom, MD

Individual provider Family Medicine Physician · NPI 1588808638

Peter Kirk Dahlstrom, MD is a Family Practice in Vadnais Heights, Minnesota. Graduated from Chicago College of Medicine and Surgery in 2009, 17 years ago. Practices with Healtheast Medical Research Institute, a 678-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
17
Trained at
Chicago College of Medicine and Surgery
Licensed in
MN
In the registry since
2009
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

1055 Centerville Cir
Vadnais Heights, MN 55127-5033
Phone: (351) 326-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 52971 (MN)

Record details

NPI number1588808638
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2009
Last updated in NPPESDecember 15, 2016
Mailing address1055 Centerville Cir, Vadnais Heights, MN 55127-5033

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolCHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated 2009 (17 years in practice)
Group practice Healtheast Medical Research Institute — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Vadnais Heights