Individual
DR. STEPHEN THEODORE PETRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
104 N STATE ST, NEW ULM, MN 56073-1857
(507) 359-2029
Mailing address
40218 611TH AVE, NEW ULM, MN 56073-4259
(507) 359-9690
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1499
MN
Other
Enumeration date
11/10/2006
Last updated
07/09/2007
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