Individual
MR. JOSEPH A PETERSEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 PFLUMM RD, SHAWNEE MISSION, KS 66216-2407
(913) 268-8969
(913) 631-5443
Mailing address
6600 PFLUMM RD, SHAWNEE MISSION, KS 66216-2407
(913) 268-8969
(913) 631-5443
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
07/09/2007
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