Individual
PETER JOSEPH DORSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14377 CHESTNUT DRIVE, EDEN PRAIRIE, MN 55347
(612) 226-3106
Mailing address
14377 CHESTNUT DR, EDEN PRAIRIE, MN 55347-1672
(612) 226-3106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302297
MN
Other
Enumeration date
09/15/2017
Last updated
07/21/2022
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