Individual
MRS. ALI ELIZABETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18432 KENRICK AVE, PARK NICOLLET - LAKEVILLE, LAKEVILLE, MN 55044-9288
(952) 993-8858
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
53963
MN
Other
Enumeration date
03/13/2008
Last updated
03/10/2021
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