Individual
JEREMY JOHN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
919 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-3344
(763) 389-6221
Mailing address
919 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-3344
(763) 389-6221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49834
MN
Other
Enumeration date
06/06/2007
Last updated
01/11/2010
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