Organization
PETERSEN CHIROPRACTIC INC.
Active
Other names
North Maple Grove Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILLIAM PETERSEN D.C. (CHIROPRACTOR)
(763) 420-4111
Entity
Organization
Contact information
Practice address
9505 BLACKOAKS LN NO., MAPLE GROVE, MN 55311
(763) 420-4111
(763) 420-4145
Mailing address
9505 BLACKOAKS LN NO, MAPLE GROVE, MN 55311
(763) 420-4111
(763) 420-4145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1764
MN
111N00000X
Chiropractor
5767
MN
Other
Enumeration date
06/16/2014
Last updated
03/19/2015
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