MRS. Susan Karen Peterson, M.S., R.D., L.D.

NPI #1972819712 in Faribault, Minnesota

Provider Information

NPI Number: 1972819712
Entity Type: Individual
Name: MRS. Susan Karen Peterson, M.S., R.D., L.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: M.S., R.D., L.D.
Enumeration Date: Aug 30, 2010
Last Updated: Aug 30, 2010

Practice Location

Address: 3965 CRYSTAL LAKE TRL
City: Faribault
State: Minnesota
ZIP Code: 55021-7974
Phone: (507) 334-7478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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