Individual
DR. BRODERICK ALAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15 8TH AVE N, HOPKINS, MN 55343-7611
(303) 827-8490
Mailing address
15 8TH AVE N, HOPKINS, MN 55343-7611
(303) 827-8490
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5821
MN
111N00000X
Chiropractor
6786
CO
Other
Enumeration date
12/12/2011
Last updated
09/24/2013
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