Louise Ballam Peterson

NPI #1003462540 in Minneapolis, Minnesota

Provider Information

NPI Number: 1003462540
Entity Type: Individual
Name: Louise Ballam Peterson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 12, 2019
Last Updated: Aug 12, 2019

Practice Location

Address: 2801 NICOLLET AVE
City: Minneapolis
State: Minnesota
ZIP Code: 55408-2329
Phone: (612) 873-7801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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