Individual
DR. JENNIFER M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1380 S COLUMBIA RD - ALTRU FAMILY MEDICINE CENTER, GRAND FORKS, ND 58201
(701) 795-2000
(701) 780-1896
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
(701) 780-1896
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12080
ND
208000000X
Pediatrics Physician
41901
MN
208000000X
Pediatrics Physician
6615A
WY
Other
Enumeration date
08/16/2006
Last updated
02/28/2019
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