John R. Petersen D.c. P.a.

NPI #1194922179 in Saint Paul, Minnesota

Provider Information

NPI Number
1194922179
Entity Type
Organization
Organization Name
John R. Petersen D.c. P.a.
Primary Specialty
Chiropractor
Enumeration Date
Jul 2, 2007
Last Updated
Dec 3, 2008

Practice Location

Address
2216 COUNTY ROAD D W
ZIP Code
55112-7500
Phone
(651) 639-1066

Authorized Official

Name
DR. JOHN ROBERT PETERSEN, D.C.
Title
DOCTOR OF CHIROPRACTIC
Phone
(651) 639-1066

Specialties & Taxonomy Codes

Specialty
Chiropractor

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