Individual
DR. MICHAEL PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DVM
Contact information
Practice address
5754 NICOLLET AVE, MINNEAPOLIS, MN 55419-2415
(612) 866-7103
(612) 866-0250
Mailing address
5754 NICOLLET AVE, MINNEAPOLIS, MN 55419-2415
(612) 866-7103
(612) 866-0250
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
04212
MN
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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