DR. Paul H Peterson, DPM

NPI #1083902126 in Blaine, Minnesota

Provider Information

NPI Number: 1083902126
Entity Type: Individual
Name: DR. Paul H Peterson, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Jul 11, 2011
Last Updated: Dec 17, 2014

Practice Location

Address: 1420 109TH AVE NE STE 100
City: Blaine
State: Minnesota
ZIP Code: 55449-3603
Phone: (763) 581-5880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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