Individual
DR. ANDREW FREDERICK PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1670 BEAM AVE STE 202, MAPLEWOOD, MN 55109-1225
(651) 330-9571
Mailing address
1670 BEAM AVE STE 202, MAPLEWOOD, MN 55109-1225
(651) 330-9571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8892
MN
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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