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Organization

PETERSON FAMILY CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACOB A PETERSON DC (CHIROPRACTOR)
(715) 254-0233
Entity
Organization

Contact information

Practice address
1265 MAIN ST, STEVENS POINT, WI 54481-2884
(715) 254-0233
(715) 254-0235
Mailing address
1265 MAIN ST, STEVENS POINT, WI 54481-2884
(715) 254-0233
(715) 254-0235

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
05/31/2011
Last updated
05/31/2011
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