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

Peter Thorne

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346775137

Peter Thorne is a Nephrology in Maple Grove, Minnesota. Graduated from Medical College of Wisconsin in 2017, 9 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
9
Trained at
Medical College of Wisconsin
Licensed in
MN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

14500 99th Ave N
Maple Grove, MN 55369-4730
Phone: (763) 898-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1211 Medical Center Dr, Nashville, TN 37232-0044 — (615) 322-0417

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 71047 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1346775137
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2017
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022
Mailing address1211 Medical Center Dr, Nashville, TN 37232-0044

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2017 (9 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Maple Grove