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DR. MICHAEL PETERSEN DVM
NPI 1740602960
Veterinarian in Minneapolis, MN

Active since January 07, 2014
5754 NICOLLET AVE, MINNEAPOLIS, MN 55419(612) 866-7103(612) 866-0250 Get Directions Write a Review

NPPES record last updated: January 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Petersen Dvm NPPES

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

DR. MICHAEL PETERSEN DVM (NPI 1740602960) is an individual veterinarian provider in Minneapolis, Minnesota, licensed in Minnesota (04212) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1740602960
Entity TypeIndividualMale
Primary Taxonomy174M00000X
Provider Legal NameDR. MICHAEL PETERSENCredential: DVM
Location Address5754 NICOLLET AVEMinneapolis, MN 55419-2415
Mailing Address5754 Nicollet AveMinneapolis, MN 55419-2415 · (612) 866-7103 · Fax (612) 866-0250
Phone(612) 866-7103
Fax(612) 866-0250
Sole ProprietorNo
Enumeration DateJanuary 7, 2014
✔ NPI 1740602960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyVeterinarianOther Service Providers
Taxonomy Code174M00000X
License✔ Licensed in MN · 04212
Definition
A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.
5754 NICOLLET AVE, Minneapolis, MN 55419
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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 Michael Petersen's NPI number?

The NPI number for Michael Petersen is 1740602960. It was assigned to this individual provider in the NPPES registry on January 7, 2014.

Where is Michael Petersen located?

Michael Petersen practices at 5754 Nicollet Ave, Minneapolis, MN 55419. The listed phone number is (612) 866-7103.

What is Michael Petersen's specialty?

The primary specialty registered for this NPI is Veterinarian with taxonomy code 174M00000X.

When was this NPI record last updated?

The NPPES record for Michael Petersen was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.