DR. Jennifer Jill Petersen, D.C.

NPI #1124180104 in Lakeville, Minnesota

Provider Information

NPI Number: 1124180104
Entity Type: Individual
Name: DR. Jennifer Jill Petersen, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Dec 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 20730 HOLYOKE AVE
Address 2: SUITE 34
City: Lakeville
State: Minnesota
ZIP Code: 55044
Phone: (952) 469-6016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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