Individual
DR. PETER PFEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, L. ACP
Contact information
Practice address
108 15TH AVE E, ALEXANDRIA, MN 56308-2510
(320) 762-2350
(320) 762-2379
Mailing address
108 15TH AVE E, ALEXANDRIA, MN 56308-2510
(320) 762-2350
(320) 762-2379
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003011
MN
171100000X
Acupuncturist
003011
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41-1824263
FEDERAL TAX ID
MN
05
—
897028900
—
MN
Enumeration date
10/11/2006
Last updated
05/06/2019
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