Dale R Petersen

NPI #1841274255 in Minneapolis, Minnesota

Provider Information

NPI Number: 1841274255
Entity Type: Individual
Name: Dale R Petersen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Nov 30, 2005
Last Updated: Oct 20, 2011

Practice Location

Address: 2001 BLAISDELL AVE
Address 2: PARK NICOLLET CLINIC MINNEAPOLIS
City: Minneapolis
State: Minnesota
ZIP Code: 55404-2414
Phone: (952) 993-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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