DR. Glen R Peterson, D.C.

NPI #1437209418 in La Salle, Illinois

Provider Information

NPI Number
1437209418
Entity Type
Individual
Name
DR. Glen R Peterson, D.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor - Sports Physician
Credential
D.C.
Enumeration Date
Jan 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
501 1ST ST
ZIP Code
61301-2416
Phone
(815) 223-4201

Specialties & Taxonomy Codes

Specialty
Chiropractor - Sports PhysicianSports Physician

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