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Organization
PETERSEN CHIROPRACTIC INC.
Active
Organization
PETERSEN CHIROPRACTIC INC.
Active
Other names
North Maple Grove Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILLIAM PETERSEN D.C. (CHIROPRACTOR)
(763) 420-4111
Entity
Organization
Contact information
Practice address
9505 BLACKOAKS LN NO., MAPLE GROVE, MN 55311
(763) 420-4111
(763) 420-4145
Mailing address
9505 BLACKOAKS LN NO, MAPLE GROVE, MN 55311
(763) 420-4111
(763) 420-4145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1764
MN
111N00000X
Chiropractor
5767
MN
Other
Enumeration date
06/16/2014
Last updated
03/19/2015
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