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Paul Peterson

NPI 1134769979 · on the registry since 2020 · sole proprietor

Practice

Address
4314 45th St N
Fargo, ND 58102
Phone
(701) 850-9229

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
ND
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota