Individual
MR. BRIAN KEITH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCC SLP
Contact information
Practice address
ONE VETERANS DRIVE, VA MEDICAL CENTER, MINNEAPOLIS, MN 55417
(612) 467-4263
Mailing address
ONE VETERANS DRIVE, VA MEDICAL CENTER, MINNEAPOLIS, MN 55417
(612) 467-4263
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7882
MN
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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