Individual
DR. JENNIFER JILL PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
20730 HOLYOKE AVE, SUITE 34, LAKEVILLE, MN 55044
(952) 469-6016
(952) 469-4017
Mailing address
PO BOX 154, LAKEVILLE, MN 55044-0154
(952) 469-6016
(952) 469-4017
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3661
MN
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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