ROBERT A PETERSON
NPI 1629052774
Internal Medicine in St Louis Park, MN

Q: What is Robert Peterson's NPI number?

The NPI number for Robert Peterson is 1629052774. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Q: What is Robert Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Peterson was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 02, 2005

3850 PARK NICOLLET BLVD, PARK NICOLLET CLINIC-SLP, ST LOUIS PARK, MN 55416(952) 993-5041(952) 993-1361 Get Directions Write a Review

NPPES record last updated: June 22, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Robert A Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT A PETERSON (NPI 1629052774) is an individual internal medicine provider in St Louis Park, Minnesota, licensed in Minnesota (20304) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1629052774

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameROBERT A PETERSON

Location Address3850 PARK NICOLLET BLVD, PARK NICOLLET CLINIC-SLPSt Louis Park, MN 55416

Mailing Address6465 Wayzata Blvd, Ste 315St Louis Park, MN 55426-1728 · (952) 993-6450 · Fax (952) 993-0300

Phone(952) 993-5041

Fax(952) 993-1361

Sole ProprietorNo

Enumeration DateDecember 2, 2005

Last NPPES UpdateJune 22, 2012

✔ NPI 1629052774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MN · 20304

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3850 PARK NICOLLET BLVD, St Louis Park, MN 55416

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISABETH JEAN MCCLEAN MD

Family Medicine