Individual
MR. KARL ROBERT PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN CNM
Contact information
Practice address
317 GOLDEN CHERRY DR, GROVER, MO 63040-1658
(636) 273-1298
Mailing address
317 GOLDEN CHERRY DR, GROVER, MO 63040-1658
(636) 273-1298
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
2003021203
MO
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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