Individual
MR. PETER GERING SKUPEKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1325 ELDRIDGE AVE W, ROSEVILLE, MN 55113-5917
(651) 639-1615
(651) 639-1615
Mailing address
2233 HAMLINE AVE N, SUITE 215, ROSEVILLE, MN 55113-5009
(651) 639-1625
(651) 639-1615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2548
MN
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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