Individual
DR. WYATT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10255 SUMMER PL, EDEN PRAIRIE, MN 55347-4719
(612) 770-7632
Mailing address
10255 SUMMER PL, EDEN PRAIRIE, MN 55347-4719
(612) 770-7632
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3180
MN
Other
Enumeration date
07/12/2009
Last updated
02/19/2020
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