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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN WILLIAM PETERSEN, D.C.

Active Sole Proprietor

DR. JOHN WILLIAM PETERSEN, D.C. is a Neurology (Chiropractor) healthcare provider located in MAPLE GROVE, Minnesota. NPI 1720110737 is currently active in the NPPES registry. Verify at CMS.

Neurology (Chiropractor) · MAPLE GROVE, MN

Registration Details

NPI Number
1720110737
Provider Type
Individual
Gender
Male
NPI Issued
Mar 12, 2007 (19.237933032162 yrs)
Last Updated
Jul 8, 2007
License
1764 (MN)
Sole Proprietor
Yes

Practice Information

Address
12000 ELM CREEK BLVD N STE L70
MAPLE GROVE, MN, 553697167
Browse MN providers · Browse ZIP 55369
Phone
7634204111
Primary Specialty
Neurology (Chiropractor)
111NN0400X
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.