Individual
MARCIA LEE PETERSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MNT
Contact information
Practice address
1200 1ST AVE E, SPENCER, IA 51301-4342
(712) 264-6198
(712) 264-6462
Mailing address
1200 1ST AVE E, SPENCER, IA 51301-4342
(712) 264-6198
(712) 264-6462
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00239
IA
Other
Enumeration date
09/27/2005
Last updated
07/08/2007
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