Individual
JOSHUA M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1012 E 2ND ST, DULUTH, MN 55805-2200
(218) 249-5555
Mailing address
1012 E 2ND ST, DULUTH, MN 55805-2200
(218) 249-5555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11317
MN
363A00000X
Physician Assistant
2921
WI
Other
Enumeration date
06/18/2012
Last updated
05/25/2021
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