Petersen Chiropractic Inc.

NPI #1144634395 in Maple Grove, Minnesota

Provider Information

NPI Number: 1144634395
Entity Type: Organization
Organization Name: Petersen Chiropractic Inc.
Primary Specialty: Chiropractor
Enumeration Date: Jun 16, 2014
Last Updated: Mar 19, 2015

Practice Location

Address: 9505 BLACKOAKS LN NO.
City: Maple Grove
State: Minnesota
ZIP Code: 55311
Phone: (763) 420-4111

Authorized Official

Name: DR. JOHN WILLIAM PETERSEN, D.C.
Title: CHIROPRACTOR
Phone: (763) 420-4111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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