Marcia Lee Petersen, MNT

NPI #1952397622 in Spencer, Iowa

Provider Information

NPI Number: 1952397622
Entity Type: Individual
Name: Marcia Lee Petersen, MNT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dietitian, Registered
Credential: MNT
Enumeration Date: Sep 27, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1200 1ST AVE E
City: Spencer
State: Iowa
ZIP Code: 51301-4342
Phone: (712) 264-6198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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