Individual
MRS. BONNIE GAIL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 NORTH AVE, NORTHFIELD, MN 55057-1498
(507) 646-1000
(507) 646-1392
Mailing address
936 PLEASANT VIEW CT, NORTHFIELD, MN 55057-2936
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R075586-3
MN
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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