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Individual

ERIC JULIAN PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA,MSN

Contact information

Practice address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 231-4120
Mailing address
1011 15TH AVE NW, WILLMAR, MN 56201-2138
(320) 214-1222

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
53163, R131880-1
MN

Other

Enumeration date
06/09/2005
Last updated
03/29/2023
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