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Dane Peterson, OD
NPI 1285863530 · on the registry since 2009
Practice
- Address
- 2601 39th Ave Ne Ste 1
St. Anthony, MN 55421 - Phone
- (763) 416-7600
- Fax
- (763) 416-7634
- Organisation at this address
- Distinctive Eyewear, Llc
Northwest Eye Clinic, LlcInferred from a shared address, not stated in the registry.
Additional practice sites
- 12000 Elm Creek Blvd N Ste 100, Maple Grove, MN
- 8501 Golden Valley Rd Ste 100, Golden Valley, MN
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Also registered as
- Optometrist
- Licence states on file
- CO, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-17
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 Minnesota