Individual
JOHN DONALD PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1454 W MAIN ST, ALBERT LEA, MN 56007-1816
(507) 373-0120
(507) 373-4395
Mailing address
1454 W MAIN ST, ALBERT LEA, MN 56007-1816
(507) 373-0120
(507) 373-4395
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1765
MN
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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