John Petersen, D.C

NPI 1720110737 · on the registry since 2007 · sole proprietor

Practice

Address: 12000 Elm Creek Blvd N Ste L70
Maple Grove, MN 55369
Phone: (763) 420-4111
Organisation at this address: Jamie L Sledd
Lee Medical Inc
Sound Sleep Centers
Andrew J Will Md Pa
South Lake Clinic, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 48

Registry record

Primary taxonomy: 111NN0400X
111NN0400X
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