Individual
EMILY JEAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
360 SHERMAN ST STE 400, SAINT PAUL, MN 55102
(651) 225-1102
(612) 977-1208
Mailing address
360 SHERMAN ST STE 400, SAINT PAUL, MN 55102-2425
(651) 225-1102
(612) 977-1208
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6485
MN
Other
Enumeration date
07/11/2018
Last updated
07/16/2018
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