Brian Walter Petersen, D.O.

NPI #1861693095 in Manchester, Tennessee

Provider Information

NPI Number: 1861693095
Entity Type: Individual
Name: Brian Walter Petersen, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: D.O.
Enumeration Date: May 28, 2007
Last Updated: Sep 30, 2025

Practice Location

Address: 482 INTERSTATE DR STE 102
City: Manchester
State: Tennessee
ZIP Code: 37355-3485
Phone: (931) 488-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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