Individual
DR. RUTH PETERKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 LAKE AVENUE NORTH, BATTLE LAKE, MN 56515
(218) 371-7100
Mailing address
PO BOX 332, BATTLE LAKE, MN 56515-0332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12830
MN
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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