Organization
AMBIENT CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANIQUE ANNE PETERSON DC (CHIROPRACTOR/OWNER)
(320) 269-5000
Entity
Organization
Contact information
Practice address
2302 E HIGHWAY 7, MONTEVIDEO, MN 56265-3152
(320) 269-5000
Mailing address
2302 E HIGHWAY 7, MONTEVIDEO, MN 56265-3152
(320) 269-5000
(320) 269-3030
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3676
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405018500
—
MN
01
—
84G86WE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
06/13/2006
Last updated
10/13/2025
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