Individual
MR. PETER WAYNE CLARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
800 E 28TH ST, 305 PIPER BUILDING, MINNEAPOLIS, MN 55407-3723
(612) 879-7170
(612) 863-8531
Mailing address
800 E 28TH ST, 305 PIPER BUILDING, MINNEAPOLIS, MN 55407-3723
(612) 879-7170
(612) 863-8531
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 118076-7
MN
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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