Individual
MAREN E PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4155 COUNTY ROAD 101 N, PLYMOUTH, MN 55446-2307
(952) 993-8900
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37203
MN
Other
Enumeration date
12/02/2005
Last updated
03/10/2021
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