Individual
DR. GLEN C PETTERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2451 N MCMULLEN BOOTH RD STE 312B, CLEARWATER, FL 33759-1342
(727) 260-4366
(727) 222-3838
Mailing address
2451 N MCMULLEN BOOTH RD STE 312B, CLEARWATER, FL 33759-1342
(727) 260-4366
(727) 222-3838
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8923
FL
Other
Enumeration date
05/01/2007
Last updated
04/05/2021
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