Individual
MARGARET I PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CR1035
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037085
BLUE CROSS BLUE SHIELD
ME
01
—
M23713
TRICARE
ME
Enumeration date
06/23/2005
Last updated
04/16/2008
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