Individual
MICHELE L PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1875 WOODWINDS DR, WOODBURY, MN 55125-2298
(651) 232-6700
(651) 232-6711
Mailing address
1875 WOODWINDS DR, WOODBURY, MN 55125-2298
(651) 232-6700
(651) 232-6711
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41324
MN
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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