Individual
CHRISTIAN M PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4211 MINNKOTA AVE NW, BEMIDJI, MN 56601-6078
(218) 444-6127
Mailing address
5500 TIMBER RIDGE DR NE, BEMIDJI, MN 56601-8600
(218) 444-9668
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27365
MN
Other
Enumeration date
05/27/2006
Last updated
07/09/2007
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