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

Robert A Peterson

Individual provider Internal Medicine Physician · NPI 1629052774

Robert A Peterson is an Internal Medicine Physician in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005

Practice location Address checks out

3850 Park Nicollet Blvd Park Nicollet Clinic-Slp
St Louis Park, MN 55416
Phone: (952) 993-5041
Fax: (952) 993-1361
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20304 (MN)

Record details

NPI number1629052774
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 2, 2005
Last updated in NPPESJune 22, 2012

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