Individual
CHRISTOS NAPOLEON PETSOULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., L.P.
Contact information
Practice address
314 W SUPERIOR ST, SUITE 600, DULUTH, MN 55802-1805
(218) 727-7353
(218) 727-2646
Mailing address
314 W SUPERIOR ST, SUITE 600, DULUTH, MN 55802-1805
(218) 727-7353
(218) 727-2646
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3014
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105522
UCARE MN
MN
01
—
30A54PE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
03/07/2007
Last updated
07/09/2007
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