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DR. GREGORY JAMES PETERSON M.D.
NPI 1790844009
Family Medicine in Fergus Falls, MN

Active since December 06, 2006
1505 PEBBLE LAKE RD, SUITE 500, FERGUS FALLS, MN 56537(218) 736-1884(218) 736-1880 Get Directions Write a Review

NPPES record last updated: September 9, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Gregory James Peterson M.d. NPPES

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

DR. GREGORY JAMES PETERSON M.D. (NPI 1790844009) is an individual family medicine provider in Fergus Falls, Minnesota, licensed in Minnesota (020301) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1790844009
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GREGORY JAMES PETERSONCredential: M.D.
Location Address1505 PEBBLE LAKE RD, SUITE 500Fergus Falls, MN 56537-3800
Mailing Address1505 Pebble Lake Rd, Suite 500Fergus Falls, MN 56537-3800 · (218) 736-1884 · Fax (218) 736-1880
Phone(218) 736-1884
Fax(218) 736-1880
Sole ProprietorYes
Enumeration DateDecember 6, 2006
Last NPPES UpdateSeptember 9, 2009
✔ NPI 1790844009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 020301
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1505 PEBBLE LAKE RD, Fergus Falls, MN 56537
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Other Identifiers 2

Medicare UPINF25726MN
Medicaid436777400MN

Other Providers at the Same Location NPPES

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

LAKELAND HOSPICE, INC.
Hospice Care, Community Based
1505 PEBBLE LAKE RD, SUITE 400
FERGUS FALLS, MN 56537
Otter Tail County (218) 998-1400

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 Gregory Peterson's NPI number?

The NPI number for Gregory Peterson is 1790844009. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Gregory Peterson located?

Gregory Peterson practices at 1505 Pebble Lake Rd Suite 500, Fergus Falls, MN 56537. The listed phone number is (218) 736-1884.

What is Gregory Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gregory Peterson was last updated on September 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.