Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANICIA GWEN PETERSON, D.C.
ActiveDR. ANICIA GWEN PETERSON, D.C. is a Chiropractor healthcare provider located in CROSSLAKE, Minnesota. NPI 1003973702 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · CROSSLAKE, MN
Registration Details
- NPI Number
- 1003973702
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2007 (19.618863071094 yrs)
- Last Updated
- Jul 9, 2007
- License
-
3138 (MN)
Practice Information
- Address
-
13743 E SHORE RDCROSSLAKE, MN, 564424033Browse MN providers · Browse ZIP 56442
- Phone
- 2186921616
- Fax
- 2186921626
- Primary Specialty
-
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.