Individual
DR. JOEL JEFFREY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-9472
Mailing address
10301 DEVONSHIRE RD, APT 316, BLOOMINGTON, MN 55431-5022
(319) 572-0168
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
120515
MN
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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