Individual
TIMOTH Y JOHN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
ST. FRANCIS HEALTHCARE CAMPUS, 2400 ST. FRANCIS DRIVE, BRECKENRIDGE, MN 56520
(218) 643-0345
(218) 643-0853
Mailing address
213 E CECIL AVE, FERGUS FALLS, MN 56537-1416
(218) 736-3507
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
102006
MN
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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