SearchMinnesota225A00000X

Jerry Thomas Petersen, MT-BC

NPI 1487276697 · on the registry since 2020 · sole proprietor

Practice

Address
136 Sandbar Ct Ne
Rochester, MN 55906
Phone
(763) 415-0374

Registry record

Primary taxonomy
225A00000X
225A00000X
Sex
Male
Record last updated
2020-05-11

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