Jonathan G. Peterson Psychiatry, Ltd.

NPI #1902164155 in Wabasha, Minnesota

Provider Information

NPI Number: 1902164155
Entity Type: Organization
Organization Name: Jonathan G. Peterson Psychiatry, Ltd.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 25, 2012
Last Updated: May 6, 2012

Practice Location

Address: 207 HIAWATHA DR E
City: Wabasha
State: Minnesota
ZIP Code: 55981-1552
Phone: (651) 564-1545

Authorized Official

Name: JONATHAN G PETERSON, M.D.
Title: PRESIDENT
Phone: (651) 564-1545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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