Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Robert G Petersen Jr., PARAMEDIC

Individual provider Paramedic · NPI 1174427447

Robert G Petersen Jr., PARAMEDIC is registered under Paramedic in West St Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

1139 Kruse St
West St Paul, MN 55118-2506
Phone: (520) 305-1184
Show map & directions

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

Specialties & licences

Paramedic (primary) Taxonomy 146L00000X · Licence M5193303 (MN)

Record details

NPI number1174427447
Entity typeIndividual (Type 1)
GenderMale
Credentials PARAMEDIC
Sole proprietorNo
NPI enumeratedOctober 7, 2026
Last updated in NPPESOctober 7, 2026
Certification dateOctober 7, 2026