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Michael Petersen, D.D.S
NPI 1407902307 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3101 Old Highway 8
Suite #303
Roseville, MN 55113 - Phone
- (651) 636-0840
- Fax
- (651) 633-1760
- Organisation at this address
- Lifeline Care Llc
Genoa Healthcare Llc
Hope Behavioral Health
Andrya Dieter, Psyd, Lp, Llc
Kirsten Mj Marsh Ma Lmft LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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