Individual
MICHAEL JOHN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
125 E HOLLY BLVD, BRANDON, SD 57005
(605) 582-8800
Mailing address
5413 S SEVILLE PL, SIOUX FALLS, SD 57108-7572
(712) 899-3597
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1485
SD
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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