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NPI Profile for TIMOTHY A PETERSON in GRAND FORKS, ND.
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI Number | 1134211568 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 09/30/2006 | |
| Last updated | 04/13/2026 - About 2 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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TIMOTHY A PETERSON
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TIMOTHY A PETERSON, MD