Individual
CHRISTOPHER PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 N MAIN ST, CONRAD, IA 50621-7748
(641) 366-3440
Mailing address
126 N MAIN ST, CONRAD, IA 50621-7748
(641) 366-3440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23334
IA
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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