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DOUGLAS PETERSON M.D.
NPI 1710962832
Emergency Medicine in Buffalo, MN

Active since December 13, 2005
1630 ANDERSON AVE, BUFFALO, MN 55313(800) 876-7171 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Peterson M.d. NPPES

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

DOUGLAS PETERSON M.D. (NPI 1710962832) is an individual emergency medicine provider in Buffalo, Minnesota, licensed in Minnesota (22930) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1710962832
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDOUGLAS PETERSONCredential: M.D.
Location Address1630 ANDERSON AVEBuffalo, MN 55313-2945
Mailing Address5008 Queen Ave SMinneapolis, MN 55410-2207 · (612) 929-0298
Phone(800) 876-7171
Sole ProprietorNo
Enumeration DateDecember 13, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1710962832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MN · 22930
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1630 ANDERSON AVE, Buffalo, MN 55313
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Other Identifiers 3

Other92M48PEMN · Bcbs
Medicare UPINC36248
Medicaid92M48PEMN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. RONALD DUANE BROWN MD
Family Medicine
1630 ANDERSON AVE, WHITESELL MEDICAL STAFFING
BUFFALO, MN 55313
Wright County (763) 682-5906
BRETT NIKULA LMFT
Marriage & Family Therapist
1630 ANDERSON AVE
BUFFALO, MN 55313
Wright County (763) 233-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Peterson's NPI number?

The NPI number for Douglas Peterson is 1710962832. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Douglas Peterson located?

Douglas Peterson practices at 1630 Anderson Ave, Buffalo, MN 55313. The listed phone number is (800) 876-7171.

What is Douglas Peterson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does Douglas Peterson accept?

Health plans from Medica list Douglas Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Peterson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.