Individual
MATTHEW D PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC., DIPL. OM
Contact information
Practice address
800 E 28TH ST, STE. 404, MINNEAPOLIS, MN 55407-3723
(612) 863-4633
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 863-4633
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1643
MN
Other
Enumeration date
02/19/2014
Last updated
08/29/2023
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