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Individual

PETER JOSEPH ACKERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4209 JAY ST, DULUTH, MN 55804-1455
(218) 525-1920
Mailing address
4209 JAY ST, DULUTH, MN 55804-1455
(218) 525-1920

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R 114481-3
MN
163WG0000X
General Practice Registered Nurse
WI

Other

Enumeration date
12/23/2006
Last updated
07/08/2007
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