DR. Anicia Gwen Peterson, D.C.

NPI #1003973702 in Crosslake, Minnesota

Provider Information

NPI Number
1003973702
Entity Type
Individual
Name
DR. Anicia Gwen Peterson, D.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Jan 2, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
13743 E SHORE RD
ZIP Code
56442-4033
Phone
(218) 692-1616

Specialties & Taxonomy Codes

Specialty
Chiropractor

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