Individual
MR. EARLE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1270 E MADISON AVE, MANKATO, MN 56001-5228
(507) 388-1315
(507) 388-6369
Mailing address
140 MARION LN, MANKATO, MN 56001-4702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111614
MN
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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