Individual
DR. MITCHELL ALLEN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
559 CAPITOL BLVD, SAINT PAUL, MN 55103-2101
(651) 232-2128
Mailing address
539 6TH STREET LN N, LAKE ELMO, MN 55042-1804
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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