Individual
ROSS LEKSELL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
920 E 1ST ST, SUITE 101, DULUTH, MN 55805-2201
(218) 279-6200
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R128433-3
MN
Other
Enumeration date
01/17/2007
Last updated
12/18/2020
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