Individual
DR. RICHARD VINCENT PEASLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
118 W. MAIN STREET, ISANTI, MN 55040-0051
(763) 444-9737
(763) 444-6540
Mailing address
118 W. MAIN STREET, ISANTI, MN 55040-0051
(763) 444-9737
(763) 444-6540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4273
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09N35IS
MINNESOTA BC/BS
MN
01
—
214E3PE
MINNESOTA BC/BS
MN
Enumeration date
06/28/2006
Last updated
11/02/2007
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