Russell Peterson, DDS
NPI 1457513616 · on the registry since 2008
Practice
- Address
- 816 W Saint Germain St
Suite 101
Saint Cloud, MN 56301 - Phone
- (320) 252-2454
- Fax
- (320) 252-2232
- Organisation at this address
- St. Cloud Family Dental Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-05-14
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