Individual
CRAIG PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 MINNESOTA AVE NW, BEMIDJI, MN 56601-3060
(218) 333-3100
Mailing address
6920 TALL PINES RD NE, BEMIDJI, MN 56601-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
369583
MN
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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