Individual
MS. BARBARA LYNN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1619 DAYTON AVE, STE 205, SAINT PAUL, MN 55104-6206
(651) 645-0478
(651) 642-2523
Mailing address
1515 FAIRMOUNT AVE, SAINT PAUL, MN 55105-2315
(651) 699-3115
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8983
MN
Other
Enumeration date
08/25/2005
Last updated
07/08/2007
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